Surgical Considerations and Neurological Outcomes in Ballistic Penetrating Subaxial Cervical Spine Fractures

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Discussion

Retrospective analysis reveals that surgical intervention may improve neurological outcomes in patients with ballistic penetrating spine injury.

Neurological deficits were more prevalent in patients with specific injury characteristics.
Surgery did not show a significant improvement in neurological exam outcomes for patients with ballistic cervical injuries.
The need for surgical intervention was heightened in cases of severe spine instability.
Demographics showed a predominance of young, male individuals with a high occurrence of African American patients.

Batbold et al. (2025) studied this question.

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Retrospective analysis reveals that surgical intervention may improve neurological outcomes in patients with ballistic penetrating spine injury.