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thoracolumbar spine Fracture-Dislocation without Neurological Deficit: A Case Report and Review of the Literature

Open Journal of Orthopedics 2021年第5期11卷 153-163页

作者： Roger Mulumba Ilunga Abdoulaye Diop Mohameth Faye Vital Nacoulma Nicaise Akodjetin Mahougnon Sodjinou Momar Codé Ba Department of Neurosurgery Regional Hospital Center of Thiès Thiès Senegal Department of Neurosurgery Regional Hospital of Ziguinchor Ziguinchor Senegal Department of Neurosurgery National Teaching Hospital of Fann Dakar Senegal

Background: thoracolumbar spine fracture-dislocations are very unstable and usually secondary to high energy trauma. Due to disruption of the entire vertebrae columns, the absence of neurological deficit is exceptiona... 详细信息

Background: Thoracolumbar spine fracture-dislocations are very unstable and usually secondary to high energy trauma. Due to disruption of the entire vertebrae columns, the absence of neurological deficit is exceptional. Aim: The purpose of this work is to report our experience in the management of this entity in a context of limited resources and to make a review of the literature. Case presentation: A 30-year-old man was admitted with a severe low back pain after a traffic accident. Neurological functions were intact after examination. Radiological assessments revealed a complete L3-L4 fracture-dislocation. The patient underwent an open posterior reduction and internal long segment fixation. The post-operative was marked by a surgical site infection treated with surgical debridement and targeted antibiotic therapy. The neurological functions were preserved. Conclusion: Fracture-dislocations of the thoracolumbar spine are caused by high energy trauma and are remarkably unstable lesions. When they are associated with intact neurorological functions, reduction and stabilization of these fractures are a challenge.

关键词： spine Fracture-Dislocation thoracolumbar spine spine Surgery Trauma

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Progress in the Treatment of thoracolumbar Spinal Fractures with Internal Fixation of Injured Vertebrae with Screws

Expert Review of Chinese Medical

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Expert Review of Chinese Medical 2024年第2期2卷 7-11页

作者： Jiashan Chan Huanbi Wang Hubei University of Arts and Sciences School of Basic Medicine Ningxia Medical University

The thoracolumbar spine,due to its large range of motion and relatively fragile anatomical structure,is prone to traumatic fractures and has become one of the common types of fractures in clinical *** and lumbar fractures may lead to spinal instability,spinal stenosis,etc.,and early restoration of vertebral height and sequence is *** the technique of transpedicular screw internal fixation for traumatic vertebrae is effective in the short term,in the long run,there may be adverse situations such as fixation breakage and loosening,leading to loss of vertebral height and kyphosis *** technique of internal fixation of injured vertebrae with screws is considered to minimize postoperative complications and is worthy of promotion and *** the advancement of medical technology,imaging,and biomechanics,the treatment methods for thoracolumbar spinal fractures are becoming increasingly diverse.

关键词： thoracolumbar spine medical technology research progress

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