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2026, Number 2

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Cir Columna 2026; 4 (2)

Gunshot wound to the spine. A case report with foreign body migration and spinal cord injury

Ortiz HFÁ, Córdova FJE, Casas ES, Diaz VJA

Language: Spanish
References: 20
Page: 133-139
PDF size: 1593.07 Kb.


ABSTRACT

Introduction: a poorly described condition is presented regarding a case of gunshot injury to the spine, with migration of a two level foreign body from the entry wound site at the level of T11-T12 with a foreign body (bullet) present in L1-L2 confirmed by computed axial tomography (CAT) as a potential property of increased morbidity and mortality and potential risk of septic complications on the spinal cord with the purpose of proposing specific options for neurosurgical treatment of the spine in a timely manner and objective. Case presentation: a case report of a neurosurgical treatment of a 50-year-old patient with a gunshot injury to the spine was carried out intentionally and aimed at extracting the migrated foreign body. Results: the intraoperative findings show integrity of the dural sac, macroscopic vascular vitality distal to the injury site, without evidence of immediate intradural necrosis. Conclusions: the research could be delved deeper with objective studies that help to define cases of timely care with the purpose of limiting morbidity and mortality and improving the prognosis by helping to prevent the potential septic development of patients with gunshot injuries in the spine.


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