Ballistic trauma to the axial skeleton in 13 animals.

Abstract

OBJECTIVE: To describe the clinical presentation and outcome of small animals that sustained ballistic trauma to the axial skeleton. DESIGN: Retrospective, multicenter observational study. SETTING: Two university teaching hospitals. ANIMALS: Twelve client-owned dogs and 1 client-owned cat sustaining ballistic trauma to the axial skeleton. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Thirteen animals sustaining ballistic trauma to the axial skeleton with complete medical records were included in this study. Twelve of 13 animals survived to discharge; 1 animal was euthanized shortly after presentation. Two animals had ophthalmic abnormalities, 9 animals had neurologic lesions, and 2 animals had no significant ophthalmic or neurologic deficits. Neurolocalization of injury included peripheral vestibular (n = 1), multifocal brain (n = 1), brainstem (n = 1), C1-C5 (n = 1), C6-T2 (n = 1), T3-L3 (n = 3), and L4-S3 (n = 1). Seven dogs underwent surgical intervention: 5 neurosurgical, 1 enucleation, and 1 laparotomy. Median hospitalization time was 6 days with a range from 1 to 31 days. CONCLUSIONS: Overall prognosis and outcome are variable and dependent on specific injury location and degree of injury.