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Neurosurgical management of penetrating spinal cord injury in the French Armed Forces during the Afghan Campaign
  1. Rayan Fawaz1,
  2. F L Maison1,
  3. N Beucler2,
  4. J-M Delmas1,
  5. B Ene1,
  6. R Dulou3,
  7. A Dagain1,3 and
  8. M Fouet1
  1. 1 Neurosurgery, Percy Military Teaching Hospital, Clamart, France
  2. 2 Neurosurgery, Sainte Anne Military Teaching Hospital, Toulon Cedex, France
  3. 3 Val-de-Grâce Military Academy, Paris, France
  1. Correspondence to Dr Rayan Fawaz, Neurosurgery, Percy Military Training Hospital, 92141 Clamart, France; ryfawaz{at}

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In 2001, the French Army was deployed to Afghanistan as part of the North Atlantic Treaty Organization-led international security assistance task force. We aim to provide the experience of the French neurosurgical team deployed in a Kabul International Airport (KaIA) role 3 hospital for the management of war-related penetrating spinal cord injuries (W-PSCIs) in this asymmetrical conflict.

From March 2010 to June 2013, 11 patients were admitted to KaIA Military Hospital for W-PSCI. The mean age was 27 years old; six patients were French soldiers and five were Afghanistan civilians. On admission, all patients underwent a full-body CT scan. Four patients were injured at the level of the cervical spine, three at the thoracic spine and four at the lumbar spine. Six patients …

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  • Contributors RF, FLM, NB, J-MD, BE, RD, AD and MF designed the article. AD and MF performed the methodology and the literature review. RD and MF gathered the patients’ data. RF, FLM, NB, J-MD, BE, RD, AD and MF participated in the drafting of the manuscript. RF performed the critical revision of the manuscript. FLM, BE, AD and MF performed the final revision of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.