Evidence map›Paper›PMID 39035381›Full record

ArticleJournal of orthopaedic case reports2024

Migration of Bullet Fragment 11 Years after Initial Gunshot Wound leads to Cervical Prevertebral Abscess: A Case Report.

Shelly Bogue, Jacob Razzouk, Qu Roy, Garrett Petersen, Khanh Nguyen, Olumide Danisa

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shelly BogueDepartment of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Jacob RazzoukSchool of Medicine, Loma Linda University, Loma Linda, California, USA.
Qu RoyDepartment of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Garrett PetersenSchool of Medicine, Loma Linda University, Loma Linda, California, USA.
Khanh NguyenDepartment of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Olumide DanisaDepartment of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Literature showcases conflicting findings regarding the outcomes of ballistic fragment removal from the spine in gunshot wounds (GSW) patients. Further research in this area is needed to better comprehend the nuances of risks and benefits surrounding ballistic fragment removal from the spine in GSW patients. In this case report, we discuss the late-onset cervical prevertebral abscess which developed when a previously embedded bullet fragment migrated into the retropharyngeal space 11 years after an initial GSW. Case Report: A 29-year-old male sustained a gunshot wound to the face in 2011. He was stabilized with a posterior C3-C6 lateral mass instrumentation and fusion. There were no attempts to remove the bullet fragments. In 2023, the patient returned with worsening neck pain. Imaging demonstrated a retropharyngeal abscess with interval rotation of the ballistic fragment by 90°. An abscess was noted anterior to the cervical vertebrae with a freely mobile ballistic fragment within. Conclusion: This case highlights several questions: What is the criteria for radiographic surveillance of retained hardware? If there is documented movement, should this trigger further investigation? What complications can occur that warrant careful removal?

Indexed as

ballisticcervicalfragmentGunshot woundspine

Identifiers

PMID39035381
PMCPMC11258746

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.