{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T15:00:53Z","timestamp":1773414053887,"version":"3.50.1"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T00:00:00Z","timestamp":1667952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Gunshot wounds (GSWs), for increasing violence in urban areas globally and especially among the young population, have been significant causes of morbidity and mortality. These are the most common cause of spinal cord injuries, followed by traffic accidents. The priority of the therapeutic team is to save the victim and then minimise the permanent neural deficits. The indications for lumbosacral decompressive spinal surgery have remained challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 25-year-old man victim of a gunshot in his left flank presented to the emergency department in hemodynamic shock and lethargy status. Resuscitating with fluids, he underwent damage control surgery (DCS). Sources of 2.5 l of intra-abdominal blood were detected of multiple intestinal and mesentery perforations beside the left ureter complete cut. The left psoas muscle was through and through perforated, too, and the bullet was stuck between the vertebrae. On the fifth day after DCS, the bullet surgical removal of the bullet was done in which L2-S1 laminectomy approaching the crushed Conus terminalis was completed. After the operation, his left foot drop and walking ability were improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Surgical treatment for gunshot wounds in the spinal column is controversial, but the emphasis is on providing advanced trauma life support. Definite treatment of such lesions mainly focuses on maintaining spinal stability, decreasing neurologic deficits as much as possible, and preventing complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A patient indicates neurological surgery who is young with incomplete or progressive neurology deficits, unstable spine, or complete injury with persistent neural compression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107779","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T12:25:39Z","timestamp":1668169539000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Successful Removal of a Bullet from the Spinal Canal of a GSW Victim in the Level of L5"],"prefix":"10.1097","volume":"101","author":[{"given":"Nasrin","family":"Pourhajshokr","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirsalim Seyyed","family":"Sadeggi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jafar","family":"Ghobadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Samady","family":"Khanghah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamed","family":"Ezzativand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-8-20260313","doi-asserted-by":"crossref","first-page":"2077","DOI":"10.1016\/j.spinee.2015.06.007","article-title":"Gunshot injuries of the spine","volume":"15","author":"Jakoi","year":"2015","journal-title":"Spine J"},{"key":"R2-8-20260313","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/00004356-200503000-00008","article-title":"Characteristics of traumatic spinal cord injuries in south-eastern Anatolia, Turkey: a comparative approach to 10 years experience","volume":"28","author":"Gur","year":"2005","journal-title":"Int. J. Rehabil. Res"},{"key":"R3-8-20260313","first-page":"31","article-title":"526 spinal cord injuries: experience of the Louisiana Rehabilitation Institute, 1965-1984","volume":"143","author":"Mawson","year":"1991","journal-title":"J. La State Med. Soc"},{"key":"R4-8-20260313","first-page":"21","article-title":"101 cases of spinal cord injury. 15-year follow-up study in a large city hospital","volume":"56","author":"Khella","year":"1977","journal-title":"Am. J. Phys. Med"},{"key":"R5-8-20260313","first-page":"123","article-title":"Epidemiological study of patients with spinal cord injuries and neurologic deficit, admitted to the Institute of Orthopedics and Traumatology at the Hospital das Clinicas of the School of Medicine of the University of S\u00e3o Paulo","volume":"45","author":"Barros Filho","year":"1990","journal-title":"Rev. Hosp. Clin. Fac. Med. Sao Paulo"},{"key":"R6-8-20260313","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/00002517-199810000-00006","article-title":"The changing nature of admissions to a spinal cord injury center: violence on the rise","volume":"11","author":"Farmer","year":"1998","journal-title":"J. Spinal Disord"},{"key":"R7-8-20260313","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/00004356-200503000-00008","article-title":"Characteristics of traumatic spinal cord injuries in south-eastern Anatolia, Turkey: a comparative approach to 10 years' experience","volume":"28","author":"Gur","year":"2005","journal-title":"Int. J. Rehabil. Res"},{"key":"R9-8-20260313","doi-asserted-by":"crossref","first-page":"3945","DOI":"10.1007\/s11999-013-2901-2","article-title":"Civilian gunshot injuries of the spinal cord: a systematic review of the current literature","volume":"471","author":"Sidhu","year":"2013","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R10-8-20260313","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1038\/sc.2014.56","article-title":"Gunshot injuries in the spine","volume":"52","author":"de Barros Filho","year":"2014","journal-title":"Spinal Cord"},{"key":"R11-8-20260313","doi-asserted-by":"crossref","first-page":"e706","DOI":"10.1016\/j.wneu.2018.03.062","article-title":"Gunshot spinal injury: factors determining treatment and outcome","volume":"114","author":"Iqbal","year":"2018","journal-title":"World Neurosurg"},{"key":"R12-8-20260313","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.2106\/00004623-198567080-00008","article-title":"Infection about the spine associated with low-velocity-missile injury to the abdomen","volume":"67","author":"Romanick","year":"1985","journal-title":"J. Bone Joint Surg"},{"key":"R13-8-20260313","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1016\/j.jocn.2011.02.047","article-title":"How bullet trajectory affects outcomes of civilian gunshot injury to the spine","volume":"18","author":"Chittiboina","year":"2011","journal-title":"J. Clin. Neurosci"},{"key":"R14-8-20260313","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R15-8-20260313","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/cc11410","article-title":"Survival and neurologic outcome after traumatic out-of-hospital cardiopulmonary arrest in a pediatric and adult population: a systematic review","volume":"16","author":"Zwingmann","year":"2012","journal-title":"Crit. Care"},{"key":"R18-8-20260313","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/j.crad.2014.01.021","article-title":"Mechanisms of injury and CT findings in bowel and mesenteric trauma","volume":"69","author":"Khan","year":"2014","journal-title":"Clin. Radiol"},{"key":"R19-8-20260313","first-page":"859","article-title":"The evolution of damage control surgery","volume":"92","author":"Chovanes","year":"2012","journal-title":"Surg.Clin"},{"key":"R20-8-20260313","first-page":"761","article-title":"The damage control sequence and underlying logic","volume":"77","author":"Rotondo","year":"1997","journal-title":"Surg.Clin"},{"key":"R21-8-20260313","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/00003086-200303000-00013","article-title":"Current treatment of gunshot wounds to the spine","volume":"408","author":"Kitchel","year":"2003","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R22-8-20260313","doi-asserted-by":"crossref","first-page":"359","DOI":"10.4184\/asj.2013.7.4.359","article-title":"Concept of gunshot wound spine","volume":"7","author":"Jaiswal","year":"2013","journal-title":"Asian Spine J"},{"key":"R23-8-20260313","doi-asserted-by":"crossref","first-page":"E117","DOI":"10.1097\/BRS.0000000000001716","article-title":"Surgical management of civilian gunshot-induced spinal cord injury: is it overutilized?","volume":"42","author":"Nwosu","year":"2017","journal-title":"Spine"},{"key":"R24-8-20260313","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1007\/s00268-014-2874-7","article-title":"Current concepts in penetrating and blast injury to the central nervous system","volume":"39","author":"Rosenfeld","year":"2015","journal-title":"World J. Surg"},{"key":"R25-8-20260313","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/BRS.0000000000000797","article-title":"An update on civilian spinal gunshot wounds: treatment, neurological recovery, and complications","volume":"40","author":"Bumpass","year":"2015","journal-title":"Spine"},{"key":"R26-8-20260313","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1177\/21925682211030873","article-title":"Gunshot wounds to the lumbosacral spine: systematic review and meta-analysis","volume":"12","author":"Platt","year":"2022","journal-title":"Glob.Spine J"},{"key":"R27-8-20260313","first-page":"S219","article-title":"Delayed Cauda Equina syndrome due to a migratory bullet","volume":"24","author":"Ghori","year":"2014","journal-title":"J. Coll. Physicians Surg. Pak"},{"key":"R28-8-20260313","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s10140-016-1477-z","article-title":"A review of penetrating brain trauma: epidemiology, pathophysiology, imaging assessment, complications, and treatment","volume":"24","author":"Vakil","year":"2017","journal-title":"Emerg. Radiol"},{"key":"R29-8-20260313","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/S2221-6189(14)60041-X","article-title":"Gunshot wounds: a review of ballistics related to penetrating trauma","volume":"3","author":"Stefanopoulos","year":"2014","journal-title":"J.Acute Dis"},{"key":"R30-8-20260313","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1097\/00007632-199108000-00012","article-title":"The effects of removal of bullet fragments retained in the spinal canal. A collaborative study by the National Spinal Cord Injury Model Systems","volume":"16","author":"Waters","year":"1991","journal-title":"Spine"},{"key":"R31-8-20260313","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1227\/00006123-198903000-00014","article-title":"Outcome of laminectomy for civilian gunshot injuries of the terminal spinal cord and cauda equina: review of 88 cases","volume":"24","author":"Cybulski","year":"1989","journal-title":"Neurosurgery"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222010252?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222010252?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107779","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T11:00:40Z","timestamp":1773399640000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107779"}},"subtitle":["Case Report"],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":28,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107779","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12]]}}}