PMC8088496_01
Lateral (a) and axial (b) images from preoperative computed tomography scan showing the retained bullet and compression of thecal sac. Air can be seen within the spinal canal secondary to the penetrating injury.
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F1
The CT scan of the lumbar spine revealed a bullet lodged in the left L1/2 disc space/spinal canal resulting in severe cauda equina compression, destruction of the left L2 pedicle, and destruction of the left L1/2 facet joint [Figure 1].
Photograph of surgical removal of bullet from the cauda equina.
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F2
Utilizing a rough diamond burr, the retained bullet fragment was removed and the cauda equina was decompressed [Figure 2].