Evidence map›Paper›PMID 41216150›Full record

ArticleSurgical neurology international2025

Anterior lumbar interbody fusion for degenerative disc disease induced by retained gunshot projectile: A case report.

Aecio Rubens Dias Pereira Filho, Alexandre Roberto Aprile, Allison Fernandes Roxo, Raul Pinheiro Medeiros, Érico Oliveira Honorato de Barros, Maria Paula Loureiro de Oliveira Pereir

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2025. 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.

Aecio Rubens Dias Pereira FilhoDepartament of Acces Surgeon, Aecio Dias Access Institute, São Paulo, Brazil.
Alexandre Roberto AprileDepartament of Acces Surgeon, Aecio Dias Access Institute, São Paulo, Brazil.
Allison Fernandes RoxoDepartament of Acces Surgeon, Aecio Dias Access Institute, São Paulo, Brazil.
Raul Pinheiro MedeirosDepartament of Acces Surgeon, Aecio Dias Access Institute, São Paulo, Brazil.
Érico Oliveira Honorato de BarrosDepartament of Acces Surgeon, Aecio Dias Access Institute, São Paulo, Brazil.
Maria Paula Loureiro de Oliveira PereirDepartament of Acces Surgeon, Aecio Dias Access Institute, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Degenerative disc disease (DDD) may emerge years after spinal trauma, particularly when ballistic fragments remain lodged within the disc space. Case Description: A 31-year-old male presented with a 1-year history of progressive low back pain and bilateral sciatica, 12 years after a conservatively managed lumbar gunshot injury with no initial neurological deficits. Imaging demonstrated a retained projectile within the L5-S1 disc space, associated with disc height loss, retrolisthesis, and Modic type 3 endplate changes. Anterior lumbar interbody fusion (ALIF) at L5-S1 was performed, permitting direct bullet removal and placement of an interbody cage. Early postoperative radiographs confirmed appropriate implant positioning with restoration of disc height and sagittal alignment, while clinical follow-up over 6 months documented sustained symptomatic improvement. Conclusion: In anatomically suitable scenarios, ALIF may represent a safe and effective option for the removal of anteriorly retained bullet fragments while addressing L5-S1 DDD.

Indexed as

Anterior lumbar interbody fusionDegenerative disc diseaseGunshot woundRetained bulletSpinal trauma

Identifiers

PMID41216150
PMCPMC12596779

What Socratic holds

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LicenceCC BY-NC-SA
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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 Socratic graph.