“…However, the bullets may herniate into the spinal canal or migrate in the intervertebral disc space, causing back pain and cauda equina syndrome many years after the first injury. 1,2,9) In addition, increasing pain following bullet injuries of the spinal cord may be caused by metal breakdown products. 4) Although lead intoxication secondary to retained bullets is uncommon, it may affect the neurologic, hematologic, gastrointestinal, musculoskeletal, renal, and reproductive systems.…”