Complete fracture-dislocation of the thoracolumbar spine without neurological deficit: A case report and review of the literature

Medicine
Junfeng ZengChen Ding

Abstract

Traumatic fracture of the thoracolumbar junction (T10-L2) is the most common fracture of the spinal column. Due to the disruption of the entire vertebrae column, the fracture-dislocation of the thoracolumbar spine is almost invariably associated with neurological injury. A complete fracture-dislocation of the thoracolumbar spine without neurological deficit is a rare entity. A 38-year-old man presented with severe low back pain after an accident when he was building a house. Comprehensive neurological examinations revealed intact neurological function. The plain X-ray and computed tomography revealed a complete facture-dislocation of the L1 to L2 vertebrae. The patient underwent posterior reduction and internal fixation with screws and rods. The neurological function was preserved postoperatively. The patient returned to work after 6 months. Early diagnosis is important before performing any dangerous maneuvers. Given the results of this case and the relevant literature, the prognosis of these patients is promising following surgical intervention.

References

Jan 1, 1994·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·F MagerlS Nazarian
Jun 7, 2003·Neurologia Medico-chirurgica·Kamil Melih AkayErdener Timurkaynak
Jan 24, 2008·The Journal of Trauma·Andrew J KerwinJoseph J Tepas
Jun 7, 2008·The American Journal of Emergency Medicine·Cheng-Ta HsiehYih-Huei Su
Mar 20, 2012·Journal of Spinal Disorders & Techniques·Feng Wang, Yue Zhu
Nov 16, 2012·The New England Journal of Medicine·Laura Jane Evans
Dec 18, 2013·The Spine Journal : Official Journal of the North American Spine Society·Kirkham B WoodAvraam Ploumis
Jan 13, 2015·International Orthopaedics·Yang LiuWen Yuan
Jun 30, 2014·Autopsy & Case Reports·Mariana Andrade BaptistaAngela Esposito Ferronato
Jun 27, 2017·The Journal of Spinal Cord Medicine·Abolfazl RahimizadehAva Rahimizadeh

❮ Previous
Next ❯

Citations

Sep 3, 2020·Global Spine Journal·Rishi Mugesh KannaShanmuganathan Rajasekaran
May 25, 2021·Clinical Spine Surgery : a Spine Publication·Xiaohui GuoLanze Liu

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.