Minimally Invasive Removal of Shrapnel Using a Tubular Retractor System

Minimally Invasive Removal of Shrapnel Using a Tubular Retractor System

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for


A: Excellent


Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good



Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good



Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good


Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very good


Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good



The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. The study is well supported with figures. The report concludes that minimally invasive spine surgical technology could be useful for removal of shrapnel fragments from the calf, thigh, buttocks, and torso. Delayed removal of shrapnel can be indicated for pain, infection, toxicity, migration, or other delayed reactions.



Q: Does the author utilize relevant literature?

A: Good


Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good



Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good


Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good


Writing style

Q: Is it clear and understandable?

A: Good


Further comments on the paper

Comments: This case report presents the novel use of minimally invasive spine surgery technology to remove a painful shrapnel fragment deep from the scapula. Localizing retained metallic fragments at deep locations or adjacent to critical neural or vascular structures can be challenging. The study is of significance as the use of minimally access spinal surgery instrumentation to approach shrapnel outside the spine has not previously been reported.


Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

If you have any questions and clarifications you can write to the journal.


Science Repository Team 


Author Info

Corresponding Author
Donald A. Ross
Section of Neurological Surgery, Operative Care Division, Portland Veterans, Portland, Oregon, USA

Article Info

Article Type
Case Report
Publication history
Received: Mon 28, Dec 2020
Accepted: Wed 13, Jan 2021
Published: Fri 29, Jan 2021
© 2021 Donald A. Ross. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.SCR.2021.01.16