599 results match your criteria Lumbar Spine Fractures and Dislocations


Imaging of thoracolumbar spine traumas.

Eur J Radiol 2022 Jun 1;154:110343. Epub 2022 Jun 1.

Radiology Unit, "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy; Radiology Unit "Dimiccoli" Teaching Hospital, Barletta, Italy; Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Italy. Electronic address:

Spine trauma is an ominous event with a high morbidity, frequent mortality, and significant psychological, social, and financial consequences for patients, their relatives and society. On average three out of four spinal fractures involve the thoracolumbar spine and up to one-third are complicated by spinal cord injury. Spinal cord injuries (SCI) are a significant cause of disability in US and in all western countries. Read More

View Article and Full-Text PDF

Delayed presentation of manubriosternal dislocation after thoracolumbar spondylodesis in a polytrauma patient - a case report.

Acta Chir Belg 2022 Apr 8:1-4. Epub 2022 Apr 8.

Department of Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.

Background: Manubriosternal dislocations are a rare entity and frequently associated with thoracic spine fractures and, in minority of cases, with cervical or thoracolumbar fractures.

Methods: Our case represents a 38-year-old male who fell from a height resulting in multiple fractures, amongst others of the first lumbar vertebra. At primary survey and computed tomography scan no manubriosternal injury was apparent. Read More

View Article and Full-Text PDF

Demographic Predictors of Treatment and Complications for Spinal Disorders: Part 2, Lumbar Spine Trauma.

Neurospine 2021 Dec 31;18(4):725-732. Epub 2021 Dec 31.

Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA.

Objective: To study the impact of demographic factors on management of traumatic injury to the lumbar spine and postoperative complication rates.

Methods: Data was obtained from the National Inpatient Sample (NIS) between 2010-2014. International Classification of Diseases, 9th revision, Clinical Modification codes identified patients diagnosed with lumbar fractures or dislocations due to trauma. Read More

View Article and Full-Text PDF
December 2021

Does Prior Lumbar Fusion Influence Dislocation Risk in Hip Arthroplasty Performed for Femoral Neck Fracture?

J Arthroplasty 2022 01 27;37(1):62-68. Epub 2021 Sep 27.

Johns Hopkins, Department of Orthopaedic Surgery, Adult Reconstruction Division, Columbia, MD.

Background: Immobility of the lumbar spine predicts instability following elective total hip arthroplasty (THA). The purpose of this study is to determine how prior lumbar fusion (LF) influenced dislocation rates and revision rates for patients undergoing THA or hemiarthroplasty (HA) for femoral neck fracture (FNF).

Methods: A retrospective cohort analysis was conducted utilizing the PearlDiver database from 2010 to 2018. Read More

View Article and Full-Text PDF
January 2022

Delayed Treatment of a Traumatic Lumbosacral Dislocation With Associated Injuries: A Case Report.

JBJS Case Connect 2021 04 19;11(2). Epub 2021 Apr 19.

Department of Surgery, Sir H.N. Reliance Foundation Hospital, Girgaon, Mumbai, India.

Case: A 41-year-old woman sustained a degloving injury over her lumbosacral and perineal region with fractures of her right tibia and fibula. After diversion colostomy and osteosynthesis for the fractures at a primary center, a missed grade 2 lumbosacral dislocation was diagnosed at a tertiary center and the degloving injury was treated with debridement and skin grafting. After 5 months, the dislocation had progressed to grade 4 and she underwent delayed posterior lumbosacral reduction, interbody fusion, and L4-S1 fixation, with superior gluteal artery perforator flap and subsequent colostomy closure, with good outcomes (Oswestry Disability Index 10%) at the 3-year follow-up. Read More

View Article and Full-Text PDF

Traumatic posterior fracture-dislocation of the fifth lumbar vertebra: report of two cases with review of literature.

Spinal Cord Ser Cases 2021 04 13;7(1):30. Epub 2021 Apr 13.

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

Introduction: Posterior fracture-dislocation of fifth lumbar vertebra (L5) is a rare injury pattern. Existing Aihara classification system lacks its mention.

Case Presentation: We report two cases of posterior fracture-dislocation of L5 with comminuted fracture of body that presented with cauda equina syndrome. Read More

View Article and Full-Text PDF

Chylous retroperitoneum following 720 degree anteroposterior-combined corrective surgery for adult spinal deformity with split vertebral fracture subluxation: a case report.

Spine Deform 2021 07 2;9(4):1183-1189. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1, Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Study Design: Clinical case report.

Purpose: To report the rare case with post-operative chylous retroperitoneum after corrective surgery for adult spinal deformity.

Methods: We present a case of a 73-year-old woman with Parkinson's disease. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF

Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review.

Spinal Cord Ser Cases 2020 07 29;6(1):67. Epub 2020 Jul 29.

Central Institute of Orthopaedics (CIO), VMMC & Safdarjung Hospital, Delhi, 110029, India.

Introduction: We report two cases of fracture-dislocation of the thoracolumbar spine without neurological deficit and outline the putative mechanisms responsible for the escape of neural tissues from injurious forces and the surgical management strategies for this type of injury. We also review similar cases described in the literature.

Case Reports: A 24-year-old female with post-traumatic fracture dislocation at the T10-T11 level without neurological deficit, along with a right femoral shaft fracture, was managed with laminectomy of T10-T11 levels with bilateral facetectomy and transpedicular screws and with an intramedullary interlocking nail for the femur fracture. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF