Spontaneous migration of an intraspinal bullet following a gunshot wound

Yip, Luke; Sweeny, Padraic J.; McCarroll, Kathleen

doi:10.1016/0735-6757(90)90182-y

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Cited by 6 publications

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Migratory low velocity intradural lumbosacral spinal bullet causing cauda equina syndrome: report of a case and review of literature

Baldawa

Shivpuje

2016

Eur Spine J

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Caudal migration of the bullet within the lumbosacral subarachnoid space results in cauda equina syndrome. Surgical retrieval of the bullet ensures the early recovery of neurological symptoms. Prone patient positioning can influence bullet location. Intraoperative fluoroscopy prior to skin incision is essential in addition to preoperative imaging to locate the bullet and thus avoid incorrect lower level laminectomy. Trapping the bullet after durotomy using suction and dissector in reverse Trendelenburg position is a useful aid in bullet removal.

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