Brash Andrew, Halalmeh Dia R, Rajah Gary, Loya Joshua, Moisi Marc
Neurosurgery, Stony Brook University, New York, USA.
Neurosurgery, Detroit Medical Center, Detroit, USA.
Cureus. 2019 Jul 29;11(7):e5269. doi: 10.7759/cureus.5269.
Gunshot wounds represent the second most frequent cause of spinal cord injury after vehicular trauma. The thoracic region is most commonly involved, followed by the thoracolumbar spine. Numerous studies have demonstrated that improvement of neurological recovery, especially after decompression surgery, is likely to be seen in lumbosacral spine, but not in the thoracic or cervical spine. Herein, we present a case of a gunshot wound causing lumbar 5 nerve root compression with neurological deficits that improved remarkably after urgent decompression surgery. This signifies a potential neurological benefit to prompt surgical intervention in lumbar gunshot wounds with radiographic evidence of neural compression. A relevant review of the literature was performed along with discussion, the clinical history, and radiological findings.
枪伤是继车辆创伤后脊髓损伤的第二大常见原因。胸部区域最常受累，其次是胸腰椎。大量研究表明，腰骶部脊柱损伤后神经功能恢复可能改善，尤其是减压手术后，但胸椎或颈椎损伤则不然。在此，我们报告一例枪伤导致腰5神经根受压并伴有神经功能缺损的病例，该病例在紧急减压手术后神经功能显著改善。这表明对于有神经受压影像学证据的腰椎枪伤，及时进行手术干预可能对神经功能有益。我们进行了相关文献综述，并结合临床病史和影像学检查结果进行了讨论。
