case_images: PMC9990798_01
case_images: Sagittal view of thoracic spine preoperative computed tomography. Red arrow indicates bullet location.
case_images: SNI-14-68-g001.jpg
case_images: PMC9990798_01_SNI-14-68-g001.jpg
case_images: F1
case_images: A 25-year-old male sustained a GSW to the T6 spine (4/2017); the bullet entered his right shoulder, passed through his lung, and ended up in the T6 vertebrae resulting in paraplegia [Figure 1].
case_images: Sagittal view of thoracic spine postoperative computed tomography. Red arrow indicates preoperative bullet location.
case_images: SNI-14-68-g002.jpg
case_images: PMC9990798_01_SNI-14-68-g002.jpg
case_images: F2
case_images: T5-T7 laminectomy for removal of the retained bullet fragment accompanied by the left-sided facetectomies at T5-T6 and T6-T7, and performance of a T4-T8 pedicle/screw fusion. The bullet, lodged extradurally, was removed along with 40% of the T6 vertebral body [Figure 2].
case_images: Intraoperative X-ray following epidural spinal cord stimulation placement. Red arrow indicates electrode grid.
case_images: SNI-14-68-g003.jpg
case_images: PMC9990798_01_SNI-14-68-g003.jpg
case_images: F3
case_images: One month later, an eSCS was placed dorsal to the L1-2 vertebral bodies using intraoperative neuromonitoring (i.e., for stimulation of all muscle groups from the iliopsoas to the anterior tibialis, including the anal sphincter) [Figure 3].