Thoracolumbar Spine Fracture-Dislocation without Neurological Deficit: A Case Report and Review of the Literature  

作　　者：Roger Mulumba Ilunga Abdoulaye Diop Mohameth Faye Vital Nacoulma Nicaise Akodjetin Mahougnon Sodjinou Momar Codé Ba 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)

机构地区：[1]Department of Neurosurgery, Regional Hospital Center of Thiès, Thiès, Senegal [2]Department of Neurosurgery, Regional Hospital of Ziguinchor, Ziguinchor, Senegal [3]Department of Neurosurgery, National Teaching Hospital of Fann, Dakar, Senegal

出　　处：《Open Journal of Orthopedics》2021年第5期153-163,共11页矫形学期刊（英文）

摘　　要：<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Aim: </span></b><span style="font-family:Verdana;">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. </span><b><span style="font-family:Verdana;">Case presentation: </span></b><span style="font-family:Verdana;">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.</span></span><span style="font-family:""><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Fracture-dislocations of the thoracolumbar spine</span><span style="color:red;"> </span></span><span style="font-family:Verdana;">are</span><span style="font-family:Verdana;"> 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.<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Aim: </span></b><span style="font-family:Verdana;">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. </span><b><span style="font-family:Verdana;">Case presentation: </span></b><span style="font-family:Verdana;">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.</span></span><span style="font-family:""><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Fracture-dislocations of the thoracolumbar spine</span><span style="color:red;"> </span></span><span style="font-family:Verdana;">are</span><span style="font-family:Verdana;"> 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 

分 类 号：O17[理学—数学]