Global Spine J 2015;5:527.

Gunshot wounds (GSWs) to the spine used to be a rare event, but with the increase of small arm intercity trauma, GWSs have increased to account for 13 to 17 % of all spine injuries.1 The classic patient is a 30-year-old man from a low-income background who got into a fight and ends up in the hospital after being shot with a pistol.2 Most of these injuries cause devastating harm. The extent of injury depends on the level of entrance and the trajectory the bullet took in the spine. Most gunshot injuries are at the thoracic levels of the spine, with lower rates in the cervical and lumbar spine. In cervical cases, most patients are quadriplegic, but in the cauda equine, patients who come in with an incomplete spinal cord injury have a favorable outcome.3 Moisi et al presented a case in which the bullet caused worsening leg symptoms that led to the removal of the fragment with an immediate improvemen