Case Report: Full-Endoscopic Surgery for Bullet Wounds of the Spine: A Report of Three Cases

Frontiers in Surgery

article

Maxim N. Kravtsov¹  Vadim A. Manukovsky²  Gennadiy G. Bulyshchenko¹  Saidmirze D. Mirzametov¹  Vadim A. Byvaltsev⁴ 

[1] Department of Neurosurgery;Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine;Department of Neurosurgery, North-Western State University n.a. I.I. Mechnikov;Department of Neurosurgery, Irkutsk State Medical University;Department of Neurosurgery, Railway Clinical Hospital

关键词: gunshot wound;    injury;    lumbar spine;    thoracic spine;    full-endoscopic surgery;   

DOI  :  10.3389/fsurg.2022.873365

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objectives To determine the feasibility and evaluate effectiveness of full-endoscopic surgery in gunshot wound of the spine. Methods Three clinical cases of lumbar and thoracic spine bullet wounds made by firearms and traumatic weapons are described. Percutaneous endoscopic surgery was performed to extract bullet from the spinal canal. The results are compared to the data from literature. Results Percutaneous endoscopic approach to spinal canal with a possibility to extract a bullet, decompression of nerve roots, defect closure of the dura mater is demonstrated. Conclusion Good clinical outcomes allows to recommend percutaneous endoscopic surgery to manage similar lumbar and thoracic spine bullet wounds at the tertiary care level.

【 授权许可】

CC BY