4.4 Article

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

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FRONTIERS IN SURGERY
卷 9, 期 -, 页码 -

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FRONTIERS MEDIA SA
DOI: 10.3389/fsurg.2022.873365

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gunshot wound; injury; lumbar spine; thoracic spine; full-endoscopic surgery

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The study described three clinical cases of using full-endoscopic surgery to treat gunshot wounds to the spine, showing good clinical outcomes and recommending its use for similar lumbar and thoracic spine gunshot wounds.
ObjectivesTo determine the feasibility and evaluate effectiveness of full-endoscopic surgery in gunshot wound of the spine. MethodsThree 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. ResultsPercutaneous endoscopic approach to spinal canal with a possibility to extract a bullet, decompression of nerve roots, defect closure of the dura mater is demonstrated. ConclusionGood clinical outcomes allows to recommend percutaneous endoscopic surgery to manage similar lumbar and thoracic spine bullet wounds at the tertiary care level.

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