Thoracic and Lumbar Spine Fracture, Type C of Magerl: About Two Cases and Review of Literature  

作　　者：Magatte Gaye Roger Mulumba Ilunga N’Famara Sylla Habib Abdoul Karim Ouiminga Aladji Ibrahim Fondo Youssoupha Sakho Magatte Gaye;Roger Mulumba Ilunga;N’Famara Sylla;Habib Abdoul Karim Ouiminga;Aladji Ibrahim Fondo;Youssoupha Sakho(Department of Neurosurgery, Grand Yoff General Hospital, Dakar, Senegal;Department of Neurosurgery, CHU Tengandogo, Ouagadougou, Burkina Faso)

机构地区：[1]Department of Neurosurgery, Grand Yoff General Hospital, Dakar, Senegal [2]Department of Neurosurgery, CHU Tengandogo, Ouagadougou, Burkina Faso

出　　处：《Open Journal of Orthopedics》2020年第8期172-178,共7页矫形学期刊（英文）

摘　　要：<strong>Introduction:</strong> Thoracic and lumbar spine fracture, type C of MAGERL is one of the most biomechanically and neurologically unstable lesions, induced by significant damage to the bone, disk and ligament complex. <strong>Materials and Methods: </strong>We report two cases of Thoracic and lumbar fracture, type C of MAGERL hospitalized in the Neurosurgery department of the Grand Yoff General Hospital in Dakar during a period from June 2014 to June 2017. <strong>Observations:</strong> 1^st case: 44-year-old patient, referred from abroad because of multi systemic trauma related on road traffic accident. On physical examination sustained a thoracic spine trauma classified ASIA D. Body CT scan showed T4 - T5 fracture-dislocation Type C of MAGERL, multiple ribs fracture with a right slight haemothorax, a sternal, a left humerus and scapulas fracture. Thoracic Posterior approach was done using laminar hooks. Clinical and anatomical results are good. 2^nd case: 20-year-old patient, referred for thoraco-lumbar trauma because of occupational accident. The initial clinical examination classified it ASIA B. CT scan investigation, demonstrated a L1-L2 fracture type C of MARGEL. Thoraco lumbar spine posterior approach was done using pedicular screw fixation. Two years after trauma the patient recovered completely from his paraplegia. <strong>Conclusion: </strong>Thoracic and lumbar spine fractures, type C of MAGERL are compelling and instable fracture. Performing posterior instrumentation can achieve a good stabilization and reduction of the lesion.<strong>Introduction:</strong> Thoracic and lumbar spine fracture, type C of MAGERL is one of the most biomechanically and neurologically unstable lesions, induced by significant damage to the bone, disk and ligament complex. <strong>Materials and Methods: </strong>We report two cases of Thoracic and lumbar fracture, type C of MAGERL hospitalized in the Neurosurgery department of the Grand Yoff General Hospital in Dakar during a period from June 2014 to June 2017. <strong>Observations:</strong> 1^st case: 44-year-old patient, referred from abroad because of multi systemic trauma related on road traffic accident. On physical examination sustained a thoracic spine trauma classified ASIA D. Body CT scan showed T4 - T5 fracture-dislocation Type C of MAGERL, multiple ribs fracture with a right slight haemothorax, a sternal, a left humerus and scapulas fracture. Thoracic Posterior approach was done using laminar hooks. Clinical and anatomical results are good. 2^nd case: 20-year-old patient, referred for thoraco-lumbar trauma because of occupational accident. The initial clinical examination classified it ASIA B. CT scan investigation, demonstrated a L1-L2 fracture type C of MARGEL. Thoraco lumbar spine posterior approach was done using pedicular screw fixation. Two years after trauma the patient recovered completely from his paraplegia. <strong>Conclusion: </strong>Thoracic and lumbar spine fractures, type C of MAGERL are compelling and instable fracture. Performing posterior instrumentation can achieve a good stabilization and reduction of the lesion.

关 键 词：SPINE TRAUMA MAGERL Posterior Instrumentation 

分 类 号：R65[医药卫生—外科学]