591 results match your criteria Lumbar Spine Fractures and Dislocations


Epidemiology of spinal fractures in children: Cross-sectional study.

Orthop Traumatol Surg Res 2020 Nov 12;106(7):1245-1249. Epub 2020 Oct 12.

Société française de chirurgie rachidienne (SFCR), Société française d'orthopedie pédiatrique (SOFOP), 56, rue Boissonade, 75014 Paris, France.

Introduction: Epidemiological studies of fractures of the spine in children are all old, mostly single-centre, with series spanning periods of 5 to 20 years.

Hypothesis: As lifestyle is constantly changing, notably with an increase in sports activities and improvements in the prevention of road and household accidents, epidemiology has likely changed.

Objective: To update the description of spinal trauma in children and adolescents compared to the existing literature. Read More

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November 2020

Biomechanical comparison of ex vivo lumbar vertebral fracture luxations stabilized with tension band or polymethylmethacrylate in cats.

Vet Surg 2020 Dec 30;49(8):1517-1526. Epub 2020 Sep 30.

Clinic for Small Animal Surgery, Vetsuisse Faculty University of Zurich, Zurich, Switzerland.

Objective: To evaluate spinal stabilization with tension band stabilization (TS) in cats compared to screw and polymethylmethacrylate fixation (SP).

Study Design: Ex vivo study.

Sample Population: Sixteen feline thoracolumbar spinal specimens. Read More

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December 2020

Thoracolumbar fracture dislocation (AO type C injury): A systematic review of surgical reduction techniques.

J Clin Orthop Trauma 2020 Sep-Oct;11(5):730-741. Epub 2019 Sep 25.

Central Institute of Orthopaedics, Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi, 110029, India.

Spinal injuries constitute about 3% of all injury cases and most of these injuries affect the thoracolumbar region, but thoracolumbar fracture-dislocations are much rarer. Dislocations (AO Type C injuries) of the thoracic and lumbar vertebrae, with or without associated fractures, happen due to very high energy trauma involving simultaneous, multidirectional, distractive and compressive forces across various spinal elements, which results in translational and rotational instability of the spinal column. Various reduction maneuvers have been described for thoracolumbar fracture-dislocations in the literature aiming to provide standardization in surgery for this situation. Read More

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September 2019

Traumatic costovertebral joint dislocation.

BMJ Case Rep 2020 Aug 18;13(8). Epub 2020 Aug 18.

Trauma Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Rib fractures due to blunt trauma are a common chest injury seen at the emergency department; however, injuries to the costovertebral joints are very rare. We present a case of a 24-year-old man who was admitted after a high-speed car collision and was assessed in a level 1 trauma centre in Amsterdam. He had multiple injuries, including dislocation of the costovertebral joint of ribs 7-10. Read More

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Prevalence of ligamentous knee injuries in pedestrian versus motor vehicle accidents.

BMC Musculoskelet Disord 2020 Jun 10;21(1):369. Epub 2020 Jun 10.

Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, 800 Stanton L Young Blvd, Oklahoma City, OK, 73104, USA.

Background: The purpose of this study was to determine the prevalence and characteristics of ligamentous knee injuries and to compare patient demographics, associated injuries and hospital stay to pedestrians who did not sustain a ligamentous knee injury.

Methods: A retrospective review of all adult patients presenting as pedestrians struck by a motor vehicle to a level 1 trauma center over a three-year period was performed. Demographics, length of stay, orthopedic and non-orthopedic traumatic injuries were recorded. Read More

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Estimating the number of traffic crash-related cervical spine injuries in the United States; An analysis and comparison of national crash and hospital data.

Accid Anal Prev 2020 Jul 12;142:105571. Epub 2020 May 12.

Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, Netherlands.

Background: Cervical spine injury is a common result of traffic crashes, and such injuries range in severity from minor (i.e. sprain/strain) to moderate (intervertebral disk derangement) to serious and greater (fractures, dislocations, and spinal cord injuries). Read More

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Mid-lumbar traumatic spondyloptosis without neurological deficit: A case report and literature review.

Medicine (Baltimore) 2020 Mar;99(12):e19578

Department of Spine Surgery, The First Hospital of Jilin University.

Introduction: Spondyloptosis is a form of vertebral dislocation and the most advanced form of spondylolisthesis. Traumatic spondyloptosis is usually caused by high-energy impact and results in unstable spine deformity and spinal canal deformation, which lead to severe spinal cord injury. Traumatic spondyloptosis is mostly reported in the lumbo-sacral junction, while it is rarely documented in mid-lumbar segments. Read More

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Traumatic bilateral L4-5 facet fracture dislocation: a case presentation with mechanism of injury.

BMC Musculoskelet Disord 2019 Nov 23;20(1):558. Epub 2019 Nov 23.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

Background: Traumatic bilateral locked facet joints at L4-5 level are a rare entity. A careful review only revealed four case reports. This case presented with an unusual mechanism of injury. Read More

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November 2019

A distraction technique using reduction multi-axial screws for open reduction of high-grade lumbar posterior dislocation:a case report and literature review.

BMC Musculoskelet Disord 2019 Nov 15;20(1):545. Epub 2019 Nov 15.

The Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu, China.

Background: L3 vertebral fractures with posterior dislocation are rare and usually secondary to high-energy trauma. To assess the outcome of a valuable distraction technique, using long-tail multiaxial pedicle screw which we have employed in reduction of L3 vertebral fracture with posterior dislocation, and emphasize the importance of preoperative blood vessel evaluation.

Case Presentation: A 47-year-old patient fell from a height of 4 m and was paralyzed. Read More

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November 2019

Low bone density and high morbidity in patients between 55 and 70 years with displaced femoral neck fractures: a case-control study of 50 patients vs 150 normal controls.

BMC Musculoskelet Disord 2019 Aug 14;20(1):371. Epub 2019 Aug 14.

Department of Orthopedic Surgery, Akershus University Hospital, Lørenskog, Norway.

Background: A displaced femoral neck fracture (FNF) in patients 55-70 years is a serious injury with a high risk of treatment failure and the optimal surgical treatment remains unclear. We aimed to describe characteristics of fracture patients compared to a sample from the normal population.

Methods: Fifty patients aged 55-70 years with a displaced FNF were gender- and age- matched with a control group of 150 persons without a hip fracture using computergenerated randomization and the Norwegian National Population Register. Read More

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Missed manubriosternal dislocation in patient with thoracolumbar fracture, a case report.

BMC Surg 2019 Jul 29;19(1):101. Epub 2019 Jul 29.

Department of Spine Surgery, Ningbo No.6 Hospital, No.1059, Zhongshan East Road, Ningbo, China.

Background: Spine fractures combined with sternal injury are most commonly occur in the thoracic region. Lower cervical and thoracolumbar injuries have also been reported, especially for the patients with manubriosternal dislocation. The type of spine injury is easily recognized in initial presentation, but we may miss the sternal fracture and manubriosternal dislocation. Read More

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Very early Charcot spinal arthropathy associated with forward bending after spinal cord injury: a case report.

Spinal Cord Ser Cases 2019 14;5:19. Epub 2019 Feb 14.

Grady Health System, Emory Department of Neurosurgery, Grady Memorial Hospital, 80 Jesse Hill Jr. Dr. SE, Atlanta, GA, 30303, USA.

Introduction: Charcot spinal arthropathy (CSA) is an uncommon clinical entity following spinal cord injury (SCI). It is characterized by progressive cartilaginous and bony destruction and is felt to be due to loss of proprioceptive and nociceptive feedback from the spine. CSA is typically diagnosed many years following SCI and has the potential to lead to progressive neurologic decline if left untreated. Read More

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Bone fractures from generalized convulsive seizures and status epilepticus-A systematic review.

Epilepsia 2019 05 25;60(5):996-1004. Epub 2019 Apr 25.

Medical Intensive Care Units, University Hospital Basel, Basel, Switzerland.

Objective: We present a systematic review of the literature regarding types and anatomic distribution of fractures in association with generalized convulsive status epilepticus (GCSE) and convulsive seizures in adult patients accompanied by an illustrative case of a patient with GCSE and diffuse postictal pain from underlying bone fractures.

Methods: The library search engines PubMed and EMBASE were screened systematically using predefined search terms. All identified articles written in English were screened for eligibility by two reviewers. Read More

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Cervical and thoracic spine injury in pediatric motor vehicle crash passengers.

Traffic Inj Prev 2019 4;20(1):84-92. Epub 2019 Feb 4.

d Nationwide Children's Center for Injury Research and Policy , Columbus , Ohio.

Objective: Motor vehicle occupants aged 8 to 12 years are in transition, in terms of both restraint use (booster seat or vehicle belt) and anatomical development. Rear-seated occupants in this age group are more likely to be inappropriately restrained than other age groups, increasing their vulnerability to spinal injury. The skeletal anatomy of an 8- to 12-year-old child is also in developmental transition, resulting in spinal injury patterns that are unique to this age group. Read More

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Fracture and dislocation of lumbar vertebrae with entrapment of small bowel: A case report and literature review.

J Int Med Res 2019 Feb 8;47(2):1043-1051. Epub 2019 Jan 8.

1 Department of Orthopaedic Surgery, Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, Zhejiang Province, China.

Traumatic incarceration of the small bowel accompanied by vertebral fractures and dislocation is rare and usually misdiagnosed until laparotomy. This report presents a rare case of jejunum entrapment between lumbar spine fractures. A 43-year-old man was clamped between two railway tracks on the upper abdomen and lower back. Read More

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February 2019

Percutaneous Instrumentation of a Complex Lumbar Spine Fracture with Bilateral Pedicle Dissociation: Case Report and Technical Note.

J Neurol Surg A Cent Eur Neurosurg 2018 Sep 11;79(5):416-423. Epub 2018 Jun 11.

Department of Neurological Surgery, University of Miami School of Medicine, Miami, Florida, United States.

Background And Study Objective:  Complex traumatic lumbar spine fractures are difficult to manage and typically occur in younger patients. Surgical immobilization for unstable fractures is an accepted treatment but can lead to future adjacent-level disease. Furthermore, large variations in fracture morphology create significant difficulties when attempting fixation. Read More

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September 2018

Clinical and radiological outcome of non-surgical management of thoracic and lumbar spinal fracture-dislocations - a historical analysis in the era of modern spinal surgery.

J Spinal Cord Med 2020 01 21;43(1):3-9. Epub 2018 May 21.

Department of Orthopaedic Surgery and Neurosurgery at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

It is well established that traumatic spinal dislocations (AO Type C injuries) should be surgically treated. However, no recent comparative study of surgical versus non-surgical management of type C injuries was found attesting the superiority of surgical treatment. Due to the lack of information about the natural history of non-surgical management of type C injuries, we evaluated the outcome of historical conservative treatment of type C injuries. Read More

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January 2020

May-Thurner Syndrome in Operative Ankle Fracture Dislocations: A Case Report.

J Foot Ankle Surg 2018 Sep - Oct;57(5):1024-1026. Epub 2018 May 18.

Postgraduate Year 3 Resident, Residency Program, Penn Presbyterian Medical Center, Philadelphia, PA.

May-Thurner syndrome (MTS) is a rare condition in which patients develop iliofemoral deep venous thrombosis owing to an anatomic variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. Data regarding lower extremity trauma in patients with previously diagnosed MTS are rare. We discuss the operative approach for ankle trauma occurring 3 weeks after endovascular surgery for the treatment of MTS. Read More

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January 2019

Sublaminar fixation for traumatic lumbar fracture subluxation with lateral listhesis in a 2-year-old patient.

J Neurosurg Pediatr 2018 08 4;22(2):200-206. Epub 2018 May 4.

6Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.

Pediatric spinal trauma can present a surgeon with difficult management decisions given the rarity of these cases, pediatric anatomy, and a growing spine. The need to stabilize a traumatically unstable pediatric spine can be an operative challenge given the lack of instrumentation available. The authors present a surgical technique and an illustrative case that may offer a novel, less disruptive method of stabilization. Read More

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Gender Differences in Spinal Injuries: Causes and Location of Injury.

J Womens Health (Larchmt) 2018 07 30;27(7):946-951. Epub 2018 Apr 30.

1 Department of Orthopedic Surgery, Rabin Medical Center , Beilinson Campus, Petah-Tikva, Israel .

Background: Spinal injury is common in trauma suffered by both men and women. A lesser degree of involvement of females with spinal trauma, or at least, the different nature of such injuries, has been suggested. It has been proposed that behavioral and structural characteristics may explain the differential type and severity of spinal injuries in women. Read More

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Total vertebrectomy and spine shortening for the treatment of T12-L1 spine dislocation: Management with suboptimal resources.

Neurocirugia (Astur : Engl Ed) 2018 Nov - Dec;29(6):304-308. Epub 2018 Apr 22.

Servicio de Traumatología y Cirugía Ortopédica, Hospital Universitario Infanta Cristina, Badajoz, España.

Total vertebrectomy with spine shortening has been reported for the treatment of difficult cases of traumatic spine dislocation, both in acute and chronic phase. We report an exceptional case of a five-week-old T12-L1 spine dislocation in a 25-year-old female with complete paraplegia as a result of trauma in Ciudad de León (Nicaragua). In view of the time since the dislocation, we performed a complete L1 vertebrectomy in order to reduce the dorsolumbar hinge. Read More

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October 2019

Spine Trauma as a Component of Essential Neurosurgery: An Outcomes Analysis from Cambodia.

World Neurosurg 2018 Jun 15;114:375-380. Epub 2018 Mar 15.

Department of Neurosurgery, Preah Kossamak Hospital, Phnom Penh, Cambodia; Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.

Objective: In recent years, delivery of cost-effective "essential neurosurgery" in resource-limited communities has been recognized as an indispensable part of health care and a global health priority. The aim of this study was to review outcomes from operative management of spine trauma at a resource-limited government hospital in Phnom Penh, Cambodia, and to provide an epidemiologic report to guide prevention programs.

Methods: A retrospective review of a prospective neurosurgical database was performed to identify risk factors for spine trauma and severe spinal cord injury (American Spinal Injury Association A or American Spinal Injury Association B) and to evaluate the cost-effectiveness of surgery for patients treated at Preah Kossamak Hospital for subaxial and thoracolumbar spine trauma from 2013 to 2016. Read More

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

Medicine (Baltimore) 2018 Mar;97(9):e0050

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Rationale: 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. Read More

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Traumatic Lateral Spondyloptosis: Case Series.

World Neurosurg 2018 May 7;113:e166-e171. Epub 2018 Feb 7.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Objective: To apprise readers about this rare but severest form of traumatic spine injury and its surgical management.

Background: Complete fracture dislocation and subluxation (>100%) of 1 vertebral body in the coronal or sagittal plane with respect to the adjacent vertebra is defined as spondyloptosis. In coronal spondyloptosis the subluxated vertebral bodies lie beside each other, and the condition is lateraloptosis. Read More

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A simplified treatment algorithm for treating thoracic and lumbar spine trauma.

J Spinal Cord Med 2019 07 7;42(4):416-422. Epub 2018 Feb 7.

c Department of Orthopaedic Surgery and Neurosurgery at Thomas Jefferson University , Philadelphia , Pennsylvania , USA.

Context: Current treatment of TLST should consider injury morphology, neurological status, clinical status (pain and disability) and also multimodal radiological evaluation (MMRE) with CT, MRI and dynamic/ standing plain radiographs.

Methods: A narrative literature review was performed to propose a treatment algorithm to guide the management of thoracolumbar spinal trauma (TLST). In order to classify injuries and surgical indications, we utilized the two most recent classification systems (TLICS and new AO spine classification) and related recent literature. Read More

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"Within ring"-based sacroiliac rod fixation may overcome the weakness of spinopelvic fixation for unstable pelvic ring injuries: technical notes and clinical outcomes.

Int Orthop 2018 06 10;42(6):1405-1411. Epub 2018 Jan 10.

Department of Orthopedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan.

Purpose: Spinopelvic fixation and triangular osteosynthesis give firm internal fixation for unstable pelvic ring injuries (UPRI), but with sacrifice of mobility of the lumbar spine. Here, we describe the procedure and outcomes of a new approach, which we refer to as "within ring"-based sacroiliac rod fixation (SIRF).

Methods: The patient was placed in a prone position and longitudinal skin incisions were made at the medial margins of the bilateral posterior superior iliac spines (PSIS). Read More

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Tranexamic Acid Decreases Visible and Hidden Blood Loss Without Affecting Prethrombotic State Molecular Markers in Transforaminal Thoracic Interbody Fusion for Treatment of Thoracolumbar Fracture-Dislocation.

Spine (Phila Pa 1976) 2018 07;43(13):E734-E739

Department of Orthopedics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Study Design: A randomized, double-blind, placebo-controlled clinical trial.

Objective: To evaluate the efficacy and safety of tranexamic acid (TXA) administered during the surgical correction of thoracolumbar fracture-dislocation.

Summary Of Background Data: Thoracolumbar fracture-dislocation surgery is generally associated with substantial blood loss and a high risk of deep vein thrombosis. Read More

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Bilateral Sacral Ala Fractures Are Strongly Associated With Lumbopelvic Instability.

J Orthop Trauma 2017 Dec;31(12):636-639

Department of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA.

Objectives: To quantify the incidence of lumbopelvic instability in the setting of unilateral and bilateral sacral fractures and assess whether the presence of bilateral sacral fractures on axial imaging is a useful screening test for lumbopelvic instability.

Design: Retrospective case series.

Setting: Level I trauma center at an academic medical center. Read More

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December 2017

Severe Trampoline Injuries: Incidence and Risk Factors in Children and Adolescents.

Eur J Pediatr Surg 2018 Dec 22;28(6):529-533. Epub 2017 Nov 22.

Department of Children and Adolescents Pediatric Surgery and Orthopedics, Oulu University Hospital, Oulu, Finland.

Introduction:  Severe trampoline injuries in children and adolescents are rare; however, minor injuries are common and their incidence is increasing. Severe injuries are most commonly head and neck injuries. They may result in long-term morbidity. Read More

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December 2018

Vertebral body spread in thoracolumbar burst fractures can predict posterior construct failure.

Spine J 2018 06 23;18(6):1005-1013. Epub 2017 Oct 23.

Department of Radiology, Campus Bio-Medico University, Via A. del Portillo 21, 00100 Rome, Italy.

Background Context: The load sharing classification (LSC) laid foundations for a scoring system able to indicate which thoracolumbar fractures, after short-segment posterior-only fixations, would need longer instrumentations or additional anterior supports.

Purpose: We analyzed surgically treated thoracolumbar fractures, quantifying the vertebral body's fragment displacement with the aim of identifying a new parameter that could predict the posterior-only construct failure.

Study Design: This is a retrospective cohort study from a single institution. Read More

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