Bullet Fragment of the Lumbar Spine: The Decision is More Important than the Incision

Global Spine Journal - Tập 5 Số 6 - Trang 523-526 - 2015
Marc Moisi1, Jeni Page1, Seymour Gahramanov1, Rod J. Oskouian1
1Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, United States

Tóm tắt

Study Design Case report. Objective Treatment of gunshot wounds to the spine is a topic of continued discussion and controversy. The following case study provides a description of a patient with a gunshot wound to the lumbar spine with a retained bullet in the intrathecal space. Methods Immediately after gunshot injury, a patient developed lumbar and radicular pain, as well as neurologic deficits. He was taken for surgery to remove the retained bullet. Results Following surgery, pain and neurologic function improved. The operative techniques and the postoperative clinical management are discussed in this report. Conclusion In our opinion, it was necessary to remove the bullet to avoid migration and possible worsening of neurologic function. However, surgical intervention is not appropriate in every case, and ultimately decisions should be based on patient presentation, symptomology, and imaging.

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Global Spine Journal

Tập 5 Số 6

523-526

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