Segmental fracture of the lumbar spine.

Hdl Handle:
http://hdl.handle.net/10147/141061
Title:
Segmental fracture of the lumbar spine.
Authors:
O'hEireamhoin, Sven; Devitt, Brian; Baker, Joseph; Kiely, Paul; Synnott, Keith
Affiliation:
Department of Trauma and Orthopaedics, Mater Misericordiae University Hospital, Dublin, Ireland. svenerwin@hotmail.com
Citation:
Segmental fracture of the lumbar spine. 2010, 35 (21):E1141-3 Spine
Journal:
Spine
Issue Date:
1-Oct-2010
URI:
http://hdl.handle.net/10147/141061
DOI:
10.1097/BRS.0b013e3181e20874
PubMed ID:
20838267
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/20838267
Abstract:
A case report is presented.; To describe a rare, previously undescribed pattern of spinal injury.; This seems to be a unique injury with no previously described injuries matching the fracture pattern observed.; This is a case report based on the experience of the authors. The discussion includes a short literature review based on pubmed searches.; We report the case of a 26-year-old female cyclist involved in a road traffic accident with a truck resulting in complete disruption of the lumbar spine. The cyclist was caught on the inside of a truck turning left and seems to have passed under the rear wheels. She was brought to the local emergency department where, after appropriate resuscitation, trauma survey revealed spinal deformity with complete neurologic deficit below T12 and fractured pubic rami, soft tissue injuries to the perineum and multiple abrasions. Plain radiology showed a segmental fracture dislocation of her lumbar vertebrae, extending from the L1 superior endplate through to L4-L5 disc space. The entire segment was displaced in both anteroposterior and lateral planes. Computed tomography confirmed these injuries and ruled out significant visceral injury. She was transferred to the national spinal unit (author unit), where she underwent reduction and fixation with rods and screws from T9-S1, using one cross-link. After her immediate postoperative recovery, she was referred to the national rehabilitation unit.; Although so-called "en bloc" lumbar fractures have been previously described, the authors were unable to find any injury of this degree in the literature. This rare injury seems to show a pattern of spinal injury previously undescribed.
Item Type:
Article
Language:
en
MeSH:
Accidents, Traffic; Adult; Female; Humans; Lumbar Vertebrae; Spinal Cord Injuries; Spinal Fractures; Spinal Fusion; Treatment Outcome
ISSN:
1528-1159

Full metadata record

DC FieldValue Language
dc.contributor.authorO'hEireamhoin, Svenen
dc.contributor.authorDevitt, Brianen
dc.contributor.authorBaker, Josephen
dc.contributor.authorKiely, Paulen
dc.contributor.authorSynnott, Keithen
dc.date.accessioned2011-08-29T10:19:28Z-
dc.date.available2011-08-29T10:19:28Z-
dc.date.issued2010-10-01-
dc.identifier.citationSegmental fracture of the lumbar spine. 2010, 35 (21):E1141-3 Spineen
dc.identifier.issn1528-1159-
dc.identifier.pmid20838267-
dc.identifier.doi10.1097/BRS.0b013e3181e20874-
dc.identifier.urihttp://hdl.handle.net/10147/141061-
dc.description.abstractA case report is presented.-
dc.description.abstractTo describe a rare, previously undescribed pattern of spinal injury.-
dc.description.abstractThis seems to be a unique injury with no previously described injuries matching the fracture pattern observed.-
dc.description.abstractThis is a case report based on the experience of the authors. The discussion includes a short literature review based on pubmed searches.-
dc.description.abstractWe report the case of a 26-year-old female cyclist involved in a road traffic accident with a truck resulting in complete disruption of the lumbar spine. The cyclist was caught on the inside of a truck turning left and seems to have passed under the rear wheels. She was brought to the local emergency department where, after appropriate resuscitation, trauma survey revealed spinal deformity with complete neurologic deficit below T12 and fractured pubic rami, soft tissue injuries to the perineum and multiple abrasions. Plain radiology showed a segmental fracture dislocation of her lumbar vertebrae, extending from the L1 superior endplate through to L4-L5 disc space. The entire segment was displaced in both anteroposterior and lateral planes. Computed tomography confirmed these injuries and ruled out significant visceral injury. She was transferred to the national spinal unit (author unit), where she underwent reduction and fixation with rods and screws from T9-S1, using one cross-link. After her immediate postoperative recovery, she was referred to the national rehabilitation unit.-
dc.description.abstractAlthough so-called "en bloc" lumbar fractures have been previously described, the authors were unable to find any injury of this degree in the literature. This rare injury seems to show a pattern of spinal injury previously undescribed.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/20838267en
dc.subject.meshAccidents, Traffic-
dc.subject.meshAdult-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLumbar Vertebrae-
dc.subject.meshSpinal Cord Injuries-
dc.subject.meshSpinal Fractures-
dc.subject.meshSpinal Fusion-
dc.subject.meshTreatment Outcome-
dc.titleSegmental fracture of the lumbar spine.en
dc.typeArticleen
dc.contributor.departmentDepartment of Trauma and Orthopaedics, Mater Misericordiae University Hospital, Dublin, Ireland. svenerwin@hotmail.comen
dc.identifier.journalSpineen
dc.description.provinceLeinster-

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