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Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671882/ https://www.ncbi.nlm.nih.gov/pubmed/26682104 http://dx.doi.org/10.1055/s-0035-1566231 |
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author | Moisi, Marc D. Page, Jeni Gahramanov, Seymour Oskouian, Rod J. |
author_facet | Moisi, Marc D. Page, Jeni Gahramanov, Seymour Oskouian, Rod J. |
author_sort | Moisi, Marc D. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4671882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-46718822015-12-17 Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision Moisi, Marc D. Page, Jeni Gahramanov, Seymour Oskouian, Rod J. Global Spine J Article 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. Georg Thieme Verlag KG 2015-12 /pmc/articles/PMC4671882/ /pubmed/26682104 http://dx.doi.org/10.1055/s-0035-1566231 Text en © Thieme Medical Publishers |
spellingShingle | Article Moisi, Marc D. Page, Jeni Gahramanov, Seymour Oskouian, Rod J. Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision |
title | Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision |
title_full | Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision |
title_fullStr | Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision |
title_full_unstemmed | Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision |
title_short | Bullet Fragment of the Lumbar Spine: The Decision Is More Important Than the Incision |
title_sort | bullet fragment of the lumbar spine: the decision is more important than the incision |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671882/ https://www.ncbi.nlm.nih.gov/pubmed/26682104 http://dx.doi.org/10.1055/s-0035-1566231 |
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