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Full-endoscopic surgery for gunshot penetrating wound of the lumbar spine (literature review and clinical case)

https://doi.org/10.17650/1683-3295-2018-20-2-66-73

Abstract

The study objective is to determine the feasibility and effectiveness evaluation of full-endoscopic surgery in gunshot wound of the lumbar spine.

Materials and methods. A clinical case of a 24-year-old male who received a gunshot wound to the lumbar spine is described. The patient underwent a full-endoscopic intervention aimed at extracting a bullet from the spinal canal.

Results. Minimal-invasive approach to spinal canal with the possibility to extract a bullet, decompression of nerve roots, defect closure of the dura mater is demonstrated.

Conclusion. Good clinical outcome allows to recommend the full-endoscopic surgery with similar gunshot wounds of the lumbar spine at the stage of specialized care.

About the Authors

M. N. Kravtsov
S. M. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation
6 Akademica Lebedeva St., Saint Petersburg 194044


S. A. Landik
S. M. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation
6 Akademica Lebedeva St., Saint Petersburg 194044


A. А. Dubinin
S. M. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation
6 Akademica Lebedeva St., Saint Petersburg 194044


K. S. Azatyan
S. M. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation
6 Akademica Lebedeva St., Saint Petersburg 194044


В. V. Gaidar
S. M. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation
6 Akademica Lebedeva St., Saint Petersburg 194044


D. V. Svistov
S. M. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation
6 Akademica Lebedeva St., Saint Petersburg 194044


References

1. The experience of the Soviet medicine in the Great Patriotic War 1941–1945. Moscow: Medgiz, 1952. Vol. 11. P. 415. (In Russ.).

2. Gaidar B. V., Verkhovskiy A. I., Parfenov V. E. Combat injuries of the spine and spinal cord. Zhurnal “Voprosy neirokhirurgii im. N. N. Burdenko” = Problems of Neurosurgery n. a. N. N. Burdenko 1997;(2):44–6. (In Russ.).

3. Dulaev A. K. Orlov V. P. Surgical treatment of soldiers with combat injuries of the spine in the territory of the Chechen Republic. In: State and prospects of development of military traumatology and orthopedics. Saint Petersburg: Morsar AV, 1999. Pp. 253–256. (In Russ.).

4. Schoenfeld A. J., Laughlin M. D., McCriskin B.J. et al. Spinal injuries in United States military personnel deployed to Iraq and Afghanistan: an epidemiological investigation involving 7877 combat casualties from 2005 to 2009. Spine Spine (Phila Pa 1976) 2013;38(20): 1770–8. DOI: 10.1097/BRS.0b013e31829ef226. PMID: 23759821.

5. Beaty N., Slavin J., Diaz C. et al. Cervical spine injury from gunshot wounds. J Neurosurg Spine 2014;21(3):442–9. DOI: 10.3171/2014.5.SPINE13522. PMID: 24926931.

6. Jakoi A., Iorio J., Howell R., Zampini J. M. Gunshot injuries of the spine. Spine J 2015;15(9);2077–85. DOI: 10.1016/j.spinee.2015.06.007. PMID: 26070284.

7. Volkov P. V., Grin A. A. Surgical treatment strategy at patients with gun and stab wounds of vertebrae and spinal cord. Neyrokhirurgiya = Russian Journal of Neurosurgery 2010(2):72–9. (In Russ.).

8. Farmer J. C., Vaccaro A. R., Balderston R. A. et al. The changing nature of admissions to a spinal cord injury center: violence on the rise. J Spinal Disord 1998;11(5):400–3. PMID: 9811100.

9. Hossin J., Joorabian M., Pipelzadah M. et al. A firearm bullet lodged into the thoracic spinal canal without vertebral bone destruction: a case report. J Med Case Rep 2011;5:289. DOI: 10.1186/1752‑1947‑5‑289. PMID: 21733154.

10. Heary R. F., Vaccaro A. R., Mesa J. J. Steroids and gunshot wounds to the spine. Neurosurgery 1997;41(3):576–83. PMID: 9310974.

11. Seçer M., Ulutaş, M., Alagöz F. et al. Relationship of biological factors to survival in spinal gunshot injuries. Ulus Travma Acil Cerrahi Derg 2016;22(3):253–8. DOI: 10.5505/tjtes.2015.76228. PMID: 27598589.

12. Bumpass D. B., Buchowski J. M., Park A. et al. An update on civilian spinal gunshot wounds: treatment, neurological recovery, and complications. Spine(Phila Pa 1976) 2015;40(7):450–61. DOI: 10.1097/BRS.0000000000000797. PMID: 25811133.

13. Sidhu G. S., Ghag A., Prokuski V. et al. Civilian gunshot injuries of the spinal cord: a systematic review of the current literature spine. Clin Orthop Relat Res 2013;471(12):3945–55. DOI: 10.1007/s11999‑013‑2901‑2. PMID: 23479233.

14. Kalkan E., Keskin F., Cengiz S. L., Baysefer A. A case report of firearm bullet settling into the thoracic spinal canal without causing neurological deficit or vertebral bone destruction. Arch Orthop Trauma Surg 2007;127(8):637–41. DOI: 10.1007/s00402‑007‑0307-x. PMID: 17342523.

15. Telfeian A. E., Veeravagu A., Oyelese A. A., Gokaslan Z. L. Brief history of endoscopic spine surgery. Neurosurg Focus 2016;40(2):E2. DOI: 10.3171/2015.11.FOCUS15429. PMID: 26828883.

16. Jaiswal M., Mittal R. S. Concept of gunshot wound spine. Asian Spine J 2013;7(4):359–64. DOI: 10.4184/asj.2013.7.4.359. PMID: 24353856.

17. Çiftçi U., Akıncı A. T., Delen E., Güçlühan D. Incomplete isolated C7 root injury caused by gunshot wound: a case report. Korean J Neurotrauma 2017;13(1):45–9. DOI: 10.13004/kjnt.2017.13.1.45. PMID: 28512618.

18. Hakan T., Çerçi, A., Gürcan S., Akçay S. Firearm bullet settling into the lumbar spinal canal without causing neurological deficit: a report of two cases. Surg Neurol Int 2016;7(Suppl 10):S251–4. DOI: 10.4103/2152-7806.181978. PMID: 27213110.

19. Le Roux J. C., Dunn R. N. Gunshot injuries of the spine – a review of 49 cases managed at the Groote Schuur Acute Spinal Cord Injury Unit. S Afr J Surg 2005;43(4):165–8. PMID: 16440591.

20. Shen F. H., Samartzis D. Operative management of a sacral gunshot injury via minimally invasive techniques and instrumentation. Asian Spine J 2013;7(1):44–9. DOI: 10.4184/asj.2013.7.1.44. PMID: 23508557.

21. Çaǧavi F., Kalayci M., Seçkiner I. et al. Migration of a bullet in the spinal canal. J Clin Neurosci 2007;14(1):74–6. DOI: 10.1016/j.jocn.2005.12.042. PMID: 17138071.

22. Kafadar A. M., Kemerdere R., Isler C., Hanci M. Intradural migration of a bullet following spinal gunshot injury. Spinal Cord 2006;44(5):326–9. DOI: 10.1038/sj.sc.3101808. PMID: 16172630.

23. Chittiboina P., Banerjee A. D., Zhang S. et al. How bullet trajectory affects outcomes of civilian gunshot injury to the spine. J Clin Neurosci 2011;18(12):1630–3. DOI: 10.1016/j.jocn.2011.02.047. PMID: 22001241.

24. Gunterberg B., Romanus B., Stener B. Pelvic strength after major amputation of the sacrum. An exerimental study. Acta Orthop Scand 1976;47(6):635–42. PMID: 1015258.

25. Levy M. L., Gans W., Wijesinghe H. S. et al. Use of methylprednisolone as an adjunct in the management of patients with penetrating spinal cord injury: outcome analysis. Neurosurgery 1996;39(6):1141–9. PMID: 8938768.

26. Schubert M., Hoogland T. Endoscopic transforaminal nucleotomy with foraminoplasty for lumbar disk herniation. Oper Orthop Traumatol 2005;17(6):641–61.DOI: 10.1007/s00064‑005‑1156‑9. PMID: 16369758.


Review

For citations:


Kravtsov M.N., Landik S.A., Dubinin A.А., Azatyan K.S., Gaidar В.V., Svistov D.V. Full-endoscopic surgery for gunshot penetrating wound of the lumbar spine (literature review and clinical case). Russian journal of neurosurgery. 2018;20(2):66-73. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-2-66-73

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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