case_images: PMC9345101_01
case_images: Axial and sagittal CT images showing bullet fragments violating the anterolateral vertebral body of L2, with a large bullet fragment lodged in the left L2 pedicle.
case_images: SNI-13-308-g001.jpg
case_images: PMC9345101_01_SNI-13-308-g001.jpg
case_images: F1
case_images: Postoperative computed tomography (CT) imaging showed bullet fragments in and adjacent to the left L2 pedicle, without obvious spinal canal compromise [Figure 1].
case_images: Sagittal, coronal, and axial CT myelogram images showing anterolateral cerebrospinal fluid fistula, with leakage of contrast into the left psoas muscle.
case_images: SNI-13-308-g002.jpg
case_images: PMC9345101_01_SNI-13-308-g002.jpg
case_images: F2
case_images: A lumbar CT myelogram was obtained, revealing an area of contrast leakage ventrally into the retroperitoneum in the area of the left L2-L3 neuroforamen without myelographic block [Figure 2].
case_images: Anterior-posterior and lateral fluoroscopy images of dorsal epidural blood patch grafting with spinal needle inserted in the thecal sac at L2-3 interspace.
case_images: SNI-13-308-g003.jpg
case_images: PMC9345101_01_SNI-13-308-g003.jpg
case_images: F3
case_images: Given these findings, the patient underwent fluoroscopy-guided dorsal epidural autologous blood patch graft placement at the L2-L3 level [Figure 3].