Retained Intraspinal Bullet: A Rare Case in a Visitor to Malaysia - A Case Report
- Author:
MH Ariffin
;
Noreen F
;
Nor Hamdan Y
;
Shaharuddin A R
;
Azmi B
- Publication Type:Journal Article
- Keywords:
Intra-spinal bullet, gunshot injury
- From:Malaysian Orthopaedic Journal
2012;6(2):45-47
- CountryMalaysia
- Language:English
-
Abstract:
Firearm injuries to the spine commonly present with acute
neurology caused by direct penetration or indirectly from
concussive effects of bullet impact on the vertebral column. We report a case of delayed neurologic presentation of retained intra-spinal bullet in a 42 year-old African who had chronic low back pain and sciatica with a past history of gunshot injury to the spine and radiograph revealed a bullet at the L4-5 disc level. Intra-operative exploration showed a fibrous mass around the bullet compressing on the L4 existing nerve root and L5 traversing nerve root. Removal of the retained bullet resulted in a good clinical outcome with
complete resolution of symptoms.
- Full text:W020160108423653872031.pdf