571 results match your criteria Lumbar Spine Fractures and Dislocations


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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http://dx.doi.org/10.1055/s-0038-1648226DOI Listing
September 2018
6 Reads

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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http://dx.doi.org/10.1053/j.jfas.2018.02.009DOI Listing
January 2019
3 Reads

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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http://dx.doi.org/10.1089/jwh.2017.6687DOI Listing
July 2018
4 Reads

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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http://dx.doi.org/10.1016/j.wneu.2018.03.057DOI Listing
June 2018
5 Reads

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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http://dx.doi.org/10.1097/MD.0000000000010050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851746PMC
March 2018
4 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S18788750183024
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http://dx.doi.org/10.1016/j.wneu.2018.01.206DOI Listing
May 2018
24 Reads

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

J Spinal Cord Med 2018 Feb 7:1-11. 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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http://dx.doi.org/10.1080/10790268.2018.1433267DOI Listing
February 2018
51 Reads

"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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http://dx.doi.org/10.1007/s00264-017-3712-yDOI Listing
June 2018
10 Reads

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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http://dx.doi.org/10.1097/BRS.0000000000002491DOI Listing
July 2018
5 Reads

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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http://Insights.ovid.com/crossref?an=00005131-201712000-0000
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http://dx.doi.org/10.1097/BOT.0000000000000972DOI Listing
December 2017
10 Reads

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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http://dx.doi.org/10.1055/s-0037-1608676DOI Listing
December 2018
5 Reads

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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http://dx.doi.org/10.1016/j.spinee.2017.10.064DOI Listing
June 2018
4 Reads

Spontaneous Reduction of Fractured Thoracolumbar Spine With Complete Dislocation: Case Report With Literature Review.

Orthop Nurs 2017 Sep/Oct;36(5):350-355

Chen Zhao, MS, The Second Affiliated Hospital of Xi'an Medical University, Baqiao District, Xi'an, Shaanxi Province, China Bing Zhang, BS, The Second Affiliated Hospital of Xi'an Medical University, Baqiao District, Xi'an, Shaanxi Province, China. Jiandang Shi, MD, General Hospital of Ningxia Medical University, Xingqing District, Victory Street, Yinchuan City, Ningxia Province, China. Yaping Li, BS, General Hospital of Ningxia Medical University, Xingqing District, Victory Street, Yinchuan City, Ningxia Province, China. Long Pang, MD, General Hospital of Ningxia Medical University, Xingqing District, Victory Street, Yinchuan City, Ningxia Province, China.

Fractures and dislocations with complete lateral displacement of the spine at the lumbar and thoracic levels are some of the most severe types of thoracolumbar trauma. They are usually caused by high-energy trauma and accompanied by extreme, life-threatening injuries and neurological deficits that vary in severity, which may delay operative intervention. It is often difficult to reduce such a complex fracture-dislocation because of the force that the muscles exert on the bone and the injured part of the spinal cord. Read More

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http://dx.doi.org/10.1097/NOR.0000000000000391DOI Listing
November 2017
13 Reads
0.603 Impact Factor

Image Guidance to Aid Pedicle Screw Fixation of a Lumbar Fracture-Dislocation Injury in a Toddler.

World Neurosurg 2017 Sep 12;105:1041.e15-1041.e17. Epub 2017 Jul 12.

Department of Neurosurgery, Hofstra-Northwell School of Medicine, Hampstead, New York, USA.

Background: Pedicle screw fixation of the lumbar spine in children age <2 years is particularly challenging, as successful cannulation of the small pedicle dimensions requires a high level of precision and there are no implants specifically designed for the infant spine. Image-guided navigation is commonly used in adult spinal surgery and may be particularly helpful for the placement of spinal screws in areas where the bony anatomy is small and/or anatomically complex, as in the upper cervical area.

Case Description: A 19-month-old female presented with a fracture-dislocation injury of L1-2. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.06.186DOI Listing
September 2017
3 Reads

[Long term radiological outcomes of unstable thoraco-lumbar fractures without neurological deficit].

Neurocirugia (Astur) 2017 Sep - Oct;28(5):211-217. Epub 2017 May 30.

Instituto Universitario de Investigación en Enfermedades Músculo-Esqueléticas, Valencia, España.

Objective: To analyse the radiological outcomes in the long term of unstable thoraco-lumbar fractures.

Material And Methods: Retrospective review of 100 patients with unstable thoracolumbar fractures treated with posterolateral fusion and short screw fixation for compression and flexion-distraction type fractures, and long segment posterior fixation for fractures-dislocations or more than one vertebra fractured, between 2000 and 2010 at three different hospital centers. Six radiological parameters were measured annually during a 4-year period: Fracture angle, kyphotic deformity, sagittal index, percentage of compression, degree of displacement and deformation angle. Read More

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http://dx.doi.org/10.1016/j.neucir.2017.04.001DOI Listing
September 2018
13 Reads

'Split and splayed C3'-traumatic lateral C2-3 dislocation without neurological deficits: unique case and its management.

Eur Spine J 2017 05 21;26(Suppl 1):213-217. Epub 2017 Mar 21.

Department of Radiodiagnosis, PGIMER, Chandigarh, India.

Background: Traumatic C2-3 dislocation has been often described in the antero-posterior plane but is extremely rare in the lateral plane. Such dislocations have been described in thoraco-lumbar and C1-2. The need to study the imaging in multiple planes has been highlighted to plan proper realignment. Read More

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http://dx.doi.org/10.1007/s00586-017-5039-1DOI Listing
May 2017
8 Reads

Treatment of Lumbar Split Fracture-Dislocation With Short-Segment or Long-Segment Posterior Fixation and Anterior Fusion.

Clin Spine Surg 2017 04;30(3):E310-E316

*Department of Spine Surgery, the 2nd Xiangya Hospital of Central South University, Changsha, China †Department of Orthopaedics E, Aarhus University Hospital, Aarhus, Denmark.

Study Design: Retrospective analysis of 16 patients.

Summary Of Background Data: The lumbar split fracture-dislocation is a rare but severe injury, which is type C1.2. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000182DOI Listing
April 2017
12 Reads

Number of positive radiographic findings in pediatric trauma patients.

Emerg Radiol 2017 Jun 26;24(3):281-286. Epub 2017 Jan 26.

Department of Trauma and Orthopedic Surgery 1; Westpfalz-Klinikum, Teaching Hospital of the Medical Faculty Mannheim, University of Heidelberg and of the University of Mainz, Hellmut-Hartert-Str.1, Kaiserslautern, Germany.

Purpose: Conventional radiography is frequently performed in pediatric patients in whom fractures and dislocations are suspected. However, until now, the rate of positive findings of the most commonly performed radiographic examinations in pediatric patients is unknown. The aim of this study was to evaluate the number of positive findings in the 20 most frequently requested standard radiographic examinations in pediatric patients in a level 1 trauma center systematically. Read More

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http://dx.doi.org/10.1007/s10140-017-1482-xDOI Listing
June 2017
10 Reads

Young Woman With Paraplegia Following a Motor Vehicle Crash.

Ann Emerg Med 2016 Dec;68(6):e91-e92

Cardiovascular Institute, San Carlos University Hospital, Madrid, Spain.

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http://dx.doi.org/10.1016/j.annemergmed.2016.06.024DOI Listing
December 2016
9 Reads

Impact of surgical correction of a U-shaped sacral fracture on sagittal spino-pelvic alignment: Regarding one case.

Neurochirurgie 2016 Dec 16;62(6):344-348. Epub 2016 Nov 16.

Unité de chirurgie du Rachis, université Aix-Marseille, CHU Timone, 264, rue Saint-Pierre, 13005 Marseille, France. Electronic address:

U-shaped sacral fractures are uncommon and are mostly the consequence of a high-energy kinetic trauma. The sacrum is a crucial element for sagittal alignment in a standing position as it determines the value of the pelvic incidence, which is a fixed and unchanging parameter for a given individual. We report the case of a 21-year-old man who underwent corrective surgery for a type II U-shaped fracture of the sacrum (according to the Roy-Camille classification), associated with a S1-S2 dislocation and sacral kyphosis that modified the patient's pelvic incidence. Read More

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http://dx.doi.org/10.1016/j.neuchi.2016.09.003DOI Listing
December 2016
1 Read

Thoracolumbar Spine Injury at CT: Trauma/Emergency Radiology.

Radiographics 2016 Nov-Dec;36(7):2234-2235

From the Department of Radiology and Molecular Imaging, Sultan Qaboos University Hospital, PO Box 38, PC 123, Al Khoud, Muscat, Sultanate of Oman (S.B.R., F.H.A.); Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif (M.R.S.); Department of Radiology, Manchester Royal Infirmary, Manchester, England (A.K.); Department of Spine Surgery, Khoula Hospital, Muscat, Oman (V.K.M.); and Department of Radiology, Royal National Orthopaedic Hospital, Stanmore, England (S.B.).

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http://dx.doi.org/10.1148/rg.2016160058DOI Listing
September 2017
9 Reads

Up in Arms: Bilateral Luxatio Erecta Fracture-Dislocations.

Am J Orthop (Belle Mead NJ) 2016 Sep/Oct;45(6):E328-E330

Department of Emergency Medicine, Sutter Health, Alta Bates Summit Medical Center, Oakland, CA.

Inferior dislocation (luxatio erecta) is the most uncommon form of dislocation of the glenohumeral joint. The chance that a person endures the specific direction of forces to dislocate both shoulders simultaneously makes bilateral luxatio erecta even more uncommon. In this article, we report the case of a man who sustained bilateral luxatio erecta when he jumped from a falling scaffold and tried grabbing onto another structure. Read More

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February 2017
7 Reads

Temporary Percutaneous Pedicle Screw Stabilization Without Fusion of Adolescent Thoracolumbar Spine Fractures.

J Pediatr Orthop 2016 Oct-Nov;36(7):701-8

Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, MO.

Background: Pediatric spine trauma often results from high-energy mechanisms. Despite differences in healing potential, comorbidities, and length of remaining life, treatment is frequently based on adult criteria; ligamentous injuries are fused and bony injuries are treated accordingly. In this study, we present short-term results of a select group of adolescent patients treated using percutaneous pedicle screw instrumentation without fusion. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/BPO.0000000000000520DOI Listing
March 2017
19 Reads

Severe aortic compression from displaced chance fracture after traumatic fall.

J Vasc Surg Venous Lymphat Disord 2016 07;4(3):345

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, Ill. Electronic address:

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http://dx.doi.org/10.1016/j.jvsv.2015.12.003DOI Listing

Complete Fracture-Dislocation of the Thoracolumbar Spine with No Critical Neurological Deficit: A Case Report.

J Med Invest 2016 ;63(1-2):122-6

Department of Orthopedics, Mitoyo General Hospital.

Fractures at the thoracolumbar junction are the most common spinal column fractures. Among type C fractures in the Arbeitsgemeinschaft für Osteosynthesefragen Spine Classification, cases with complete fracture-dislocations of the spinal column often result in a critical neurological deficit despite surgical treatment. We present a case of an 18-year-old man who had a complete fracture-dislocation of the T12 vertebral body and multiple injuries following high-energy trauma but no critical neurological deficits. Read More

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http://dx.doi.org/10.2152/jmi.63.122DOI Listing
January 2017
4 Reads

Pediatric isthmic spondylolisthesis showing radiologic evidence of slippage after physis injury.

J Pediatr Orthop B 2017 Jul;26(4):388-392

Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

The pathogenesis of slippage in pediatric spondylolisthesis is still unclear, although epiphyseal injury may account for many cases based on preclinical studies. However, no reports have described a pediatric case of isthmic spondylolisthesis showing radiologic evidence of epiphyseal injury. We report such evidence in a 13-year-old boy with low-back pain. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000290DOI Listing
July 2017
4 Reads
0.660 Impact Factor

Reliability of the evaluation of posterior ligamentous complex injury in thoracolumbar spine trauma with the use of computed tomography scan.

Eur Spine J 2016 Apr 25;25(4):1135-43. Epub 2016 Jan 25.

Neurosurgery Division, Hospital do Servidor Público Estadual de São Paulo, Av. Ibirapuera, 981, Indianópolis, São Paulo, SP, Brazil.

Purpose: The AOSpine thoracolumbar (TL) spine injury classification system is based mainly on computed tomography (CT). The main purpose of this study was to evaluate the reliability of CT scan in the diagnosis of posterior ligamentous complex (PLC) injury in thoracolumbar spine trauma (TLST).

Methods: We performed a cross-sectional study of 43 patients with TLST. Read More

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http://dx.doi.org/10.1007/s00586-016-4377-8DOI Listing
April 2016
9 Reads

Osteosynthesis in sacral fracture and lumbosacral dislocation.

Orthop Traumatol Surg Res 2016 Feb 22;102(1 Suppl):S45-57. Epub 2016 Jan 22.

Service d'orthopédie, CHU Pitié-Salpêtrière, pavillon Gaston-Cordier, 7(e) étage, 47-83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address:

Sacral fracture and lumbosacral hinge trauma are rare but serious lesions. Neurologic disorder is frequently associated, and nerve release may be required, with reduction and stabilization of the fracture. Management requires knowing the fracture lines and reduction maneuvers and the fixation techniques that may need to be associated. Read More

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http://dx.doi.org/10.1016/j.otsr.2015.12.002DOI Listing
February 2016
4 Reads

Body Morphology and Its Associations With Thoracolumbar Trauma Sustained in Motor Vehicle Collisions.

J Am Acad Orthop Surg 2015 Dec 4;23(12):769-77. Epub 2015 Nov 4.

Objective: This study investigates the relationship between body mass index (BMI) and the patterns of thoracolumbar spinal fractures sustained by patients in motor vehicle collisions (MVCs).

Design: The Crash Injury Research and Engineering Network (CIREN) database was used to analyze prospective data on patients involved in MVCs of moderate severity.

Methods: Thoracolumbar fractures in 631 subjects were analyzed for patient-, vehicle-, and crash-related factors. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.5435/JAAOS-D-15-00277DOI Listing
December 2015
24 Reads

Traumatic L4-5 bilateral locked facet joints.

Eur Spine J 2016 05 24;25 Suppl 1:129-33. Epub 2015 Sep 24.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Suite B-400, 200 Lothrop Street, Pittsburgh, PA, 15213, USA.

Introduction: Traumatic bilateral locked facet joints occur with extreme rarity in the lumbar spine. A careful review of the literature revealed only three case reports.

Clinical Presentation: We present the case of a 36 year-old male who suffered bilateral L4-5 facet fracture dislocations following a motor vehicle collision. Read More

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http://dx.doi.org/10.1007/s00586-015-4245-yDOI Listing
May 2016
7 Reads

Traumatic burst fracture and dislocation of the lumbar spine with an intact neurologic function.

Spine J 2016 Jan 9;16(1):e47-8. Epub 2015 Sep 9.

Department of Orthopedics, Clinical Medical College of Yangzhou University, Subei People's Hospital of Jiangsu Province, No. 98 Nantong West Rd, Yangzhou 225001, China.

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http://dx.doi.org/10.1016/j.spinee.2015.09.012DOI Listing
January 2016
3 Reads

Surgery for severe thoracolumbar fracture dislocation via a posterior approach.

J Clin Neurosci 2015 Dec 29;22(12):1954-8. Epub 2015 Aug 29.

Department of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong 226001, China.

Between June 2008 and June 2013, our department treated 16 severe thoracolumbar fracture dislocations (13 male and three female patients; mean age 33.6 years) with a pedicle screw system via an entirely posterior approach. We followed all patients for 18-69 months (mean 35 months). Read More

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http://dx.doi.org/10.1016/j.jocn.2015.04.029DOI Listing
December 2015
4 Reads

Traumatic L5 Posterolateral Spondyloptosis: A Case Report and Review of the Literature.

Cureus 2015 Jun 14;7(6):e277. Epub 2015 Jun 14.

Neurosurgery, University of California, San Diego.

Traumatic retrolisthesis of the lumbar spine is a rare clinical entity. Only a few case reports have shown retrolisthesis of the fractured fragment over the inferior vertebral body. Fracture dislocations of the spine are unstable injuries that require operative fixation to restore alignment and prevent progressive deformity. Read More

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http://dx.doi.org/10.7759/cureus.277DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494538PMC
June 2015
1 Read

Traumatic fracture through the neurocentral synchondroses of L3 vertebra in a 5-year-old child.

Skeletal Radiol 2015 Sep 16;44(9):1377-80. Epub 2015 May 16.

Department of Radiology, Rambam Medical Healthcare Center, Haifa, Israel,

Neurocentral synchondroses (NCS) are growth plates that contribute to the transverse growth of the vertebra. Fractures through these NCS are very rare and none have been reported in the lumbar spine. We present a rare case of a traumatic fracture through the neurocentral synchondroses of L3 vertebra in a 5-year-old child. Read More

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http://dx.doi.org/10.1007/s00256-015-2159-8DOI Listing
September 2015
5 Reads

Single-stage posterior vertebral column resection and internal fixation for old fracture-dislocations of thoracolumbar spine: a case series and systematic review.

Eur Spine J 2016 08 8;25(8):2497-513. Epub 2015 May 8.

Department of Orthopaedic Surgery, Fuzhou General Hospital of Nanjing Command PLA, No. 156, North Xi-er-huan Road, Fuzhou, 350025, China.

Purpose: To evaluate the efficacy of single-stage posterior vertebral column resection for old thoracolumbar fracture-dislocations with spinal cord injury.

Methods: From January 2007 to June 2013, twelve male patients (average age, 32.6 years; range 19-57 years) with old fracture-dislocations of the thoracolumbar spine and spinal cord injury underwent single-stage posterior vertebral column resection and internal fixation. Read More

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http://dx.doi.org/10.1007/s00586-015-3955-5DOI Listing
August 2016
9 Reads

The relationship between cervical and lumbar spine lesions in rheumatoid arthritis with a focus on endplate erosion.

J Spinal Disord Tech 2015 Apr;28(3):E154-60

Department of Orthopedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Study Design: A cross-sectional imaging study.

Objective: To investigate the relationship between cervical and lumbar spine lesions in patients with rheumatoid arthritis (RA), and to analyze associated factors in those with concurrent cervical and lumbar endplate erosion (EE).

Summary Of Background Data: Both the lumbar and cervical spines are often involved in RA, but little is known about the relationship between cervical and lumbar lesions. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000197DOI Listing
April 2015
3 Reads

Definitive single-stage posterior surgical correction of complete traumatic spondyloptosis at the thoracolumbar junction.

J Neurosurg Spine 2015 Jun 20;22(6):653-7. Epub 2015 Mar 20.

Department of Neurosurgery, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan.

Complete dislocation at the thoracolumbar junction is a rare occurrence, with only 4 previously reported cases in 3 separate series. Surgical procedures in the reported cases of spondyloptosis at the thoracolumbar junction have been described using instrumentation, reduction, decompression, and stabilization techniques. In this report the authors' patient presented with spondyloptosis at the thoracolumbar junction, resulting in a T-11 American Spinal Injury Association Grade A injury. Read More

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http://dx.doi.org/10.3171/2014.10.SPINE14165DOI Listing
June 2015
3 Reads

Re: Two-year follow-up evaluation of surgical treatment for thoracolumbar fracture dislocation.

Spine (Phila Pa 1976) 2015 Feb;40(4):273

Indian Spinal Injuries Centre, New Delhi, India.

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http://dx.doi.org/10.1097/BRS.0000000000000741DOI Listing
February 2015
5 Reads

Thoracolumbar fracture dislocations treated by posterior reduction, interbody fusion and segmental instrumentation.

Indian J Orthop 2014 Nov;48(6):568-73

Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P. R. China.

Background: Literature describing the application of modern segmental instrumentation to thoracic and lumbar fracture dislocation injuries is limited and the ideal surgical strategy for this severe trauma remains controversial. The purpose of this article was to investigate the feasibility and efficacy of single-stage posterior reduction with segmental instrumentation and interbody fusion to treat this type of injury.

Materials And Methods: A retrospective review of 30 patients who had sustained fracture dislocation of the spine and underwent single stage posterior surgery between January 2007 and December 2011 was performed. Read More

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http://dx.doi.org/10.4103/0019-5413.144219DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4232825PMC
November 2014
8 Reads

Subaxial cervical spine injuries in children and adolescents.

J Pediatr Orthop 2015 Mar;35(2):136-9

*Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic †Le Bonheur Children's Hospital, Memphis, TN.

Background: Limited data exist on pediatric subaxial cervical spine injuries. The goal of this study was to characterize the injuries and initial treatment of a large consecutive series of patients with injuries from C3 to C7.

Methods: Medical records and radiographs of consecutive patients admitted with cervical spine fractures and/or dislocations at a single level 1 pediatric trauma center from 2003 to 2013 were reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000341DOI Listing
March 2015
16 Reads

Two-year follow-up evaluation of surgical treatment for thoracolumbar fracture-dislocation.

Spine (Phila Pa 1976) 2014 Oct;39(21):E1284-90

*Department of Spine Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, Shan'xi Province, China; and †Department of General Surgery, The 417th Hospital, China National Nuclear Corporation (CNNC), Xi'an, Shan'xi Province, China.

Study Design: A randomized, controlled clinical trial.

Objective: This randomized controlled clinical trial was aimed at comparing the clinical outcomes of combined posteroanterior (P-A) fusion and transforaminal thoracic interbody fusion (TTIF) in cases of thoracolumbar fracture-dislocation.

Summary Of Background Data: The optimal treatment strategy for thoracolumbar fracture-dislocation remains controversial. Read More

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https://insights.ovid.com/crossref?an=00007632-201410010-000
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http://dx.doi.org/10.1097/BRS.0000000000000529DOI Listing
October 2014
15 Reads

The significance of removing ruptured intervertebral discs for interbody fusion in treating thoracic or lumbar type B and C spinal injuries through a one-stage posterior approach.

PLoS One 2014 14;9(5):e97275. Epub 2014 May 14.

Department of Spine Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, P. R. China.

Objectives: To identify the negative effect on treatment results of reserving damaged intervertebral discs when treating type B and type C spinal fracture-dislocations through a one-stage posterior approach.

Methods: This is a retrospective review of 53 consecutive patients who were treated in our spine surgery center from January 2005 to May 2012 due to severe thoracolumbar spinal fracture-dislocation. The patients in Group A (24 patients) underwent long-segment instrumentation laminectomy with pedicle screw-rod fixators for neural decompression. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0097275PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020822PMC
January 2015
20 Reads

Surgical repair of thoraco-lumbar vertebral fracture-luxations in eight cats using screws and polymethylmethacrylate fixation.

Vet Comp Orthop Traumatol 2014 25;27(4):306-12. Epub 2014 Apr 25.

Rosario Vallefuoco Rosario DVM, CHUVA, Ecole Nationale Veterinaire d'Alfort, Department of Small Animal Surgery, 7 Av. du Gen. de Gaulle, Maisons-Alfort, 94700, France, E-mail:

Objective: To report our clinical experience in the surgical treatment of feline thoraco-lumbar vertebral fracture-luxations using optimal safe implantation corridors as previously described in vitro.

Study Design: Retrospective clinical study.

Materials And Methods: Medical records and radiographs of cats with vertebral fracture-luxations stabilized by screws and polymethylmethacrylate (PMMA) using optimal safe implantation corridors between 2009 and 2011 were reviewed. Read More

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http://dx.doi.org/10.3415/VCOT-13-08-0098DOI Listing
October 2015
5 Reads

Occupant and crash characteristics in thoracic and lumbar spine injuries resulting from motor vehicle collisions.

Spine J 2014 Oct 31;14(10):2355-65. Epub 2014 Jan 31.

Department of Orthopaedic Surgery, Medical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI 53226, USA.

Background Context: Motor vehicle collisions (MVC) are a leading cause of thoracic and lumbar (T and L) spine injuries. Mechanisms of injury in vehicular crashes that result in thoracic and lumbar fractures and the spectrum of injury in these occupants have not been extensively studied in the literature.

Purpose: The objective was to investigate the patterns of T and L spine injuries after MVC; correlate these patterns with restraint use, crash characteristics, and demographic variables; and study the associations of these injuries with general injury morbidity and fatality. Read More

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http://pdfs.journals.lww.com/spinejournal/2016/01000/Occupan
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http://linkinghub.elsevier.com/retrieve/pii/S152994301400115
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http://dx.doi.org/10.1016/j.spinee.2014.01.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357604PMC
October 2014
13 Reads

Spinal fracture-dislocations and spinal cord injuries in motor vehicle crashes.

Traffic Inj Prev 2014 ;15(7):694-700

a ProBiomechanics LLC , Bloomfield Hills , Michigan.

Purpose: This study estimated the annual count of spinal cord injuries (SCIs) in motor vehicles crashes by type and seat belt use using 18 years of NASS-CDS data. It determined the rate for SCI and fracture-dislocation of the spine.

Methods: 1994-2011 NASS-CDS was used to estimate the annual occurrence of spinal injuries in front seat occupants involved in motor vehicle crashes. Read More

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http://dx.doi.org/10.1080/15389588.2013.867434DOI Listing
October 2014
20 Reads

Seat belt syndrome with unstable Chance fracture dislocation of the second lumbar vertebra without neurological deficits.

BMJ Case Rep 2014 Jan 8;2014. Epub 2014 Jan 8.

Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania, Australia.

The seat belt syndrome is a recognised complication of seat belt use in vehicles. Unstable Chance fractures of the spine without neurological deficits have been reported infrequently. We describe a young woman with completely disrupted Chance fracture of the second lumbar vertebra in association with left hemidiaphragmatic rupture/hernia, multiple bowel perforations, splenic capsular tear, left humeral shaft and multiple rib fractures. Read More

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http://casereports.bmj.com/content/2014/bcr-2013-202412.full
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http://casereports.bmj.com/cgi/doi/10.1136/bcr-2013-202412
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http://dx.doi.org/10.1136/bcr-2013-202412DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3902840PMC
January 2014
3 Reads

Management of thoracolumbar spine fractures.

Spine J 2014 Jan;14(1):145-64

University of Ioninna, P.O. Box 1186, 45110 Ioannina, Greece.

Background Context: Traumatic fractures of the spine are most common at the thoracolumbar junction and can be a source of great disability.

Purpose: To review the most current information regarding the pathophysiology, injury pattern, treatment options, and outcomes.

Study Design: Literature review. Read More

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http://dx.doi.org/10.1016/j.spinee.2012.10.041DOI Listing
January 2014
24 Reads

Images in clinical medicine. Spinal fracture and a widened interspinous gap.

N Engl J Med 2013 Dec;369(23):e31

Bordeaux University Hospital, Bordeaux, France

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http://dx.doi.org/10.1056/NEJMicm1305681DOI Listing
December 2013
2 Reads