Minimally Invasive Management of Civilian Gunshot Wounds to the Lumbar Spine: A Case Series and Technical Report.

Operative Neurosurgery
Clifford L CrutcherGabriel C Tender

Abstract

Treatment of penetrating gunshot wounds (GSW) to the spine remains controversial. The decision to operate is often based on surgeon preference and experience. We present a case series of 7 patients who underwent minimally invasive thoracolumbar/sacral decompression and bullet removal at a level 1 trauma center. To describe the use of minimally invasive techniques to achieve decompression and bullet removal for GSW to the spine. From 2010 to 2017, 7 patients with spinal GSW underwent minimally invasive decompression and bullet removal at an academic level 1 trauma center. Patient ages ranged from 20 to 55 yr (mean: 31 yr). The mechanisms of injury were GSW to the abdomen/pelvis (n = 6) and direct GSW to the spine (n = 1). Based on the neurological examination, the injuries were characterized as complete (n = 1) or incomplete (n = 6). Decompression and bullet removal were performed using a tubular retractor system. All patients with incomplete injuries who had postdischarge follow-up demonstrated some neurologic recovery. There were no postoperative wound infections, cerebrospinal fluid (CSF) fistulas, or other complications related to the procedure. Minimally invasive decompression and bullet removal is a safe technique that may...Continue Reading

References

Feb 1, 1987·Neurosurgery·E C BenzelJ E Coleman
May 13, 2008·The Spine Journal : Official Journal of the North American Spine Society·Luis M TumialánSanjay K Gupta
Jan 30, 2010·Spine·Alexandre F CristanteRaphael M Marcon
Aug 11, 2012·Journal of Medical Case Reports·Cort D LawtonRichard G Fessler
Mar 13, 2013·Clinical Orthopaedics and Related Research·Gursukhman S SidhuKristen E Radcliff
Mar 20, 2013·Asian Spine Journal·Francis Hao-Tso Shen, Dino Samartzis
Jul 16, 2013·Injury·Jayme TrahanGabriel C Tender
Dec 3, 2014·World Journal of Surgery·Jeffrey V RosenfeldRocco Armonda
Jun 14, 2016·Journal of Racial and Ethnic Health Disparities·Clifford L CrutcherJason D Wilson
Dec 13, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sachin Baldawa, Vijay Shivpuje

❮ Previous
Next ❯

Citations

Sep 3, 2020·Surgical Neurology International·Zaid Aljuboori, Emily Sieg
Apr 15, 2021·Military Medicine·Nathan BeuclerJean-Marc Kaya

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Related Papers

Asian Spine Journal
Manish Jaiswal, Radhey Shyam Mittal
Annals of the Royal College of Surgeons of England
G Velmahos, Demetrios G Demetriades
© 2021 Meta ULC. All rights reserved