The objective was to evaluate the long-term clinical outcome of cases with thoracolumbar burst fracture
and to help spine surgeons in preoperative decision-making.
Nonoperative management of stable thoracolumbar burst fractures
with early ambulation and bracing.
The management of thoracolumbar burst fractures
is continually changing with advances in technology.
Coufal, MD, FACS, founder of La Jolla Neurosurgical Associates, presents a case in which, a trauma patient suffered an acute burst fracture
of the thoracolumbar spine and required acute operative stabilization to avoid a progressive deformity and neurological deterioration.
Seizure-induced lumbar burst fracture
associated with conus medullaris-cauda equina compression.
Mcafee's classification of thoracolumbar injuries were used and fractures divided into wedge fractures, burst fractures
, fractures subluxation, translational injuries and distraction injuries.
Caring for a patient who has bowel, bladder, and sexual dysfunction after a lumbar burst fracture
Table 3 The Use of CT in Evaluating Spinal Injuries Spinal injuries for which CT is indicated: * Flexion teardrop fracture * Unilateral interfacetal dislocation * Unilateral interfacetal fracture-dislocation * Pillar fracture * Jefferson bursting fracture, atlas * Burst fracture
, lower cervical spine * Laminar fracture * Hyperextension fracture-dislocation Spinal injuries for which CT is not indicated: * Anterior subluxation (hyperflexion sprain) * Bilateral interfacetal dislocation * Simple wedge (compression) fracture * Clay shoveler's fracture * Hyperextension dislocation * Extension teardrop fracture * Avulsion fracture of the anterior tubercle of the atlas * Posterior arch of the atlas (isolated fracture) * Traumatic spondylolisthesis * Dens fractures
While the anterior-posterior open mouth image (Figure 1) was read as normal except for general osteopenia, a burst fracture
of C4 vertebrae was visualized on the remaining images (Figures 2 & 3).
He suffered a burst fracture
to his cervical vertebrae, known as "a hangman's break".
5%) Table 3: SKELETAL INJURIES IN CERVICAL SPINE Hyper-flexion sprain 5 Flexion compression fracture 3 Flexion tear-drop fracture 1 Bilateral facet dislocation 15 Unilateral facet dislocation 6 Burst fracture
1 Posterior element fractures 5 Table 4: SKELETAL INJURIES IN DORSAL SPINE 1 Wedge compression fracture 7 Burst fracture
6 Posterior element fractures 2 Subluxations/dislocations 4 Table 5: SKELETAL INJURIES IN LUMBAR SPINE Wedge compression fracture 11 Burst fracture
7 Posterior element fractures 3 Table 6: CORD INJURIES TYPE CERVICAL DORSAL LUMBAR TOTAL SCIWORA 9 - - 9 (7.
We present a case of pulmonary embolism which occurred after a single-stage combined anterior and posterior approach surgery for L2 burst fracture