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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The bullet in the dural sac. How to catch it? A report of two cases

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Department of Neurosurgery
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Department of Orthopedics and Traumatology, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2007, 43(6), 478; https://doi.org/10.3390/medicina43060059
Received: 2 June 2006 / Accepted: 27 April 2007 / Published: 2 May 2007
Objective. The purpose of this article is to present two cases of penetrating gunshot injuries to the lumbar spine with migration of the bullets within the dural sac and to describe the method of removal of the bullet from the dural sac.
Material and methods. Two cases of penetrating gunshot injuries to the lumbar spine with migration of the bullets within the dural sac are presented. Clinical course, diagnostic tools, and management of two patients who suffered from these injuries are illustrated. The method of removal of the bullet from the dural sac is described too.
Results. The wounds in these two cases healed without infection. The neurological status of our patients improved gradually. Radiographs taken 2 years after the injury did not demonstrate the postoperative instability of the lumbar spine.
Conclusions
. The bullet in the dural sac at the level of the cauda equina must be removed. The method proposed by us can facilitate this procedure.
Keywords: spine; spine injury; gunshot injury spine; spine injury; gunshot injury
MDPI and ACS Style

Špakauskas, B.; Ambrozaitis, K.V.; Kontautas, E. The bullet in the dural sac. How to catch it? A report of two cases. Medicina 2007, 43, 478.

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