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spinal cord injury due to lumbar spine fracture

Hesham M Soliman, Ha Son Nguyen, Anjishnu Banerjee, Frank Pintar, Narayan Yoganandan, Shekar Kurpad, Dennis Maiman
BACKGROUND: The Abbreviated Injury Scale (AIS) is an anatomical-based coding system created by the Association for the Advancement of Automotive Medicine, utilized to classify and code injuries resulting from trauma, in order of severity. According to the latest version, all Thoraco-Lumbar Compression Fractures (TLCF), even without injury to other spine components and with >20% loss of height, were branded AIS 3 injuries, reflecting a serious threat to life or permanent disability...
September 2016: Traffic Injury Prevention
A Schicho, D Einwag, A Eickhoff, P H Richter, C Riepl
BACKGROUND: Injuries to the spinal cord are not only dreaded because of the high risks existing during the acute phase, but also because of their potential long-term sequelae. Horseback riding also poses a high risk of spinal injuries. We therefore evaluated the most frequent characteristics of accidents leading to long-term sequelae, the primary long-term discomfort resulting from such injuries caused by horseback riding accidents and the way injured persons changed their behaviour after the accidents...
December 2015: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Sarat Poodipedi Chandra, Shashank Ravindra Ramdurg, Nilesh Kurwale, Avnish Chauhan, Abuzer Ansari, Ajay Garg, Chitra Sarkar, Bhawani Shankar Sharma
BACKGROUND CONTEXT: Conventional circumferential stabilization for pathologies causing instability of the thoracic spine requires a two or even a three-staged procedure. The authors present their tertiary care center experience of single-staged procedure to establish a circumferential fusion through an extended costotransversectomy approach. OBJECTIVE: To demonstrate neural canal decompression, removal of the pathology, achieve circumferential fusion, and correcting the deformity through a single procedure...
September 1, 2014: Spine Journal: Official Journal of the North American Spine Society
M Voth, C Nau, I Marzi
Spinal injuries are generally very rare in childhood. Fractures of the thoracic and lumbar spine occur mainly in older children and adolescents. Exact knowledge of the anatomy is essential for accurate diagnosis in still incomplete ossification. With increasing age the classification can be performed by using the AO classification over the age of 8 years. Neurological symptoms in the thoracic and lumbar spine occur mainly in adolescence. Conventional radiography is the standard diagnostic tool for thoracic and lumbar spinal injuries...
December 2013: Der Unfallchirurg
Paul C Ivancic
A fall from high height can cause thoracolumbar spine fracture with retropulsion of endplate fragments into the canal leading to neurological deficit. Our objectives were to develop a hybrid cadaveric/surrogate model for producing thoracolumbar spine injury during simulated fall from height, evaluate the feasibility and performance of the model, and compare injuries with those observed clinically. Our model consisted of a 3-vertebra human lumbar specimen (L3-L4-L5) stabilized with muscle force replication and mounted within an impact dummy...
October 2013: Accident; Analysis and Prevention
Joseph H Miller, Holly A Zywicke, James B Fleming, Christoph J Griessenauer, Thomas R Whisenhunt, Mamerhi O Okor, Mark R Harrigan, Patrick R Pritchard, Mark N Hadley
OBJECT: The April 27, 2011, tornados that affected the southeastern US resulted in 248 deaths in the state of Alabama. The University of Alabama at Birmingham (UAB) Medical Center, the largest Level I trauma center in the state, triaged and treated a large number of individuals who suffered traumatic injuries during these events, including those requiring neurosurgical assessment and treatment. METHODS: A retrospective review of all adult patients triaged at UAB Medical Center during the April 27, 2011, tornados was conducted...
June 2013: Journal of Neurosurgery
Marcus Hofbauer, Manuela Jaindl, Leonard Lee Höchtl, Roman C Ostermann, R Kdolsky, Silke Aldrian
BACKGROUND: Spine injuries, a common component in polytrauma, are relatively rare in pediatric patients. Previous studies mainly described injuries to the cervical region, whereas information of injury patterns to the thoracic and lumbosacral region lack in the current literature. The aim of this study was to determine the incidence and characteristics of polytraumatized children and associated spine injuries in different pediatric development ages. METHODS: A cohort review of all pediatric patients with the diagnosis of polytrauma and associated spine injury, admitted to a urban Level I trauma center, was conducted over an 18-year period from January 1992 to December 2010...
July 2012: Journal of Trauma and Acute Care Surgery
Liu-Bin, Ji-Wei Wang, Li-Yan Zhang, Yao-Sen Wei, Ri-Yong Chen, Jian-Jun Xu
OBJECTIVE: To observe the therapeutic effects of iliac nail in the treatment of lumbar sacral and pelvis reconstruction. METHODS: Form January 2004 to February 2010,10 patients (4 males and 6 females, ranging age from 25 to 75 years, with an average of 46.5 years ) were treated. Among the patients, 5 cases were L5S1 vertebral tuberculosis, 2 cases were sacral giant-cell tumors and 3 cases were severe osteoporosis combined with lumbar sacral slipping. The main symptoms manifested low back pain, limited activity and dysphasia before treatment...
March 2012: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
M Backhaus, M Citak, T Kälicke, R Sobottke, O Russe, R Meindl, G Muhr, T M Frangen
INTRODUCTION: The ankylosing spondylitis (AS) is a systemic rheumatic disease, which affects the skeleton, joints and internal organs. Attributed to the augmented rigidity of the spine and the concomitant impairment of compensatory mechanism minor force might cause spine fractures. Multilevel stabilization and dorsoventral instrumentation is a well - established procedure. This study was to evaluate the surgical outcome of 119 patients with AS associated spine fractures. METHODS: From 07/96 to 01/10, 119 patients with 129 spine fractures due to AS were treated in our department...
October 2011: Der Orthopäde
L Tomčovčík, R Cuha, R Raši
PURPOSE OF THE STUDY: The aim of this retrospective study was to evaluate the results of intra-operative myelography as the method used to assess the reduction of bone fragments from the posterior margin of the vertebral body. MATERIAL AND METHODS: Forty patients with 42 comminuted fractures of the thoracolumbar spine were included in the study. The pre-operative spinal stenosis caused by bone fragments from the posterior margin of the vertebral body, as detected by CT scanning, ranged from 25 % to 85 %...
August 2010: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
(no author information available yet)
(1).-Varieties of spinal injuries, the three groups of common usage: fractures, dislocations, fracture-dislocations. Shall not refer in detail to fractures of the spinous or transverse processes.(2) Mechanics of injury to vertebrae. Two variables: (1) the nature of the bones; (2) the qualities of the force. Spinal injury usually caused by indirect violence.(3) The different results of injuries applied to the head; may break skull, failing that, the neck. Atlas fracture. Difference in qualities of the force causing atlas fracture and low cervical dislocation...
February 1928: Proceedings of the Royal Society of Medicine
J R Dusseldorp, M Ow-Yang, R J Mobbs
We report a unique mechanism of injury and illustrate the difficulties of diagnosing purely ligamentous injuries to the cervical spine. To our knowledge, there have been no previous reports of this type of high-energy, low-velocity mechanism of injury. The pattern of injury is also unusual, consisting of anterolisthesis of L4 on L5 with bilateral perched facet joints, atlantoaxial instability and bilateral lower limb fractures. We present a 49-year-old man who experienced a high-energy, low-velocity crush injury that led to extreme hyperflexion of his spine...
January 2010: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
David J Hak, Sean Baran, Philip Stahel
Sacral fractures are commonly associated with pelvic ring fractures due to high-energy mechanisms of injury. An understanding of the anatomic relation of the sacrum to the lumbar spine, pelvis, and surrounding neurovascular structures is critical in evaluating functional deficits that may be associated with sacral fractures. While displaced fractures can be easily diagnosed on high quality plain radiographs, nondisplaced or transverse fracture patterns may be difficult to diagnose without a computed tomography scan...
October 2009: Orthopedics
Dachen Chu, Yi-Hui Lee, Ching-Heng Lin, Pesus Chou, Nan-Ping Yang
BACKGROUND: This study was wanted to investigate the prevalence of concomitant injuries among hospitalized acute spinal trauma patients aged 20 and over and the effects of those injuries on medical utilization in Taiwan. METHODS: Nationwide inpatient datasets of Taiwan's National Health Insurance (NHI) database from between 2000 and 2003 were used. The major inclusion criteria used to select cases admitted due to acute spinal trauma were based on three diagnostic International Classification of Disease, 9th Version (ICD-9) codes items: (1) fracture of vertebral column without mention of spinal cord injury; (2) fracture of vertebral column with spinal cord injury; or (3) spinal cord lesion without evidence of spinal bone injury...
2009: BMC Health Services Research
P Gahr, S K Tschöke, D Haschtmann, Christoph-E Heyde
A 35-year-old female patient sustained three contiguous vertebral fractures at the thoracolumbar junction while jumping off the third floor in a suicide attempt. Initial fracture treatment occurred in the setting of a multiple injury scenario. While the Th12 and the L1 vertebral fractures were considered stable, the L2 fracture exhibited a complete burst configuration with 80% canal compromise due to a posterior wall fragment causing paraplegia. A posterior pedicle screw stabilisation with indirect fracture reduction was carried out initially from T12 to L3...
July 2009: European Spine Journal
Maurizio Domenicucci, Alessandro Ramieri, Jacopo Lenzi, Elena Fontana, Stefano Martini
STUDY DESIGN: A unique case of pseudo-aneurysm of a lumbar artery after injury of the thoracolumbar spine was presented. OBJECTIVE: To describe the exceptional occurrence of pseudo-aneurysm of a lumbar artery after flexion-distraction fracture of thoracolumbar junction and to discuss the mechanism of formation and the therapeutic solution. SUMMARY OF BACKGROUND DATA: Injury of a lumbar artery represents a potential cause of massive, life-threatening, retroperitoneal bleeding...
February 1, 2008: Spine
J Stulík, T Pesl, J Kryl, T Vyskocil, P Sebesta, P Havránek
PURPOSE OF THE STUDY: Spinal injuries in children are rare and account for a low proportion of all childhood injuries. Due to anatomical and biomechanical properties of the growing spine, there are great differences between spinal injury in childhood and adulthood. Because of higher mobility and elasticity of the spine and a lower body mass in children, spinal injuries are not frequent and represent only 2 to 5 % of all spinal injuries. In this retrospective study, the effectiveness of conservative and surgical treatment of injured spines in children is evaluated in a 10-year period...
October 2006: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
A Guzel, D Belen, M Tatli, S Simsek, E Guzel
Spinal injuries in the infantile age group are relatively rare, mainly due to anatomical and biomechanical features of the pediatric spine. With its hypermobile character, pediatric spine can withstand trauma without fracture, and the elastic nature of the young spine allows easy slippage between segments, especially under the age of 8. Clinically, a few of the cases present with subluxation only, which seldom involve the lumbar level. We report an extremely rare case of traumatic complete upper lumbar lateral lystesis in a 3-year-old boy...
2006: Pediatric Neurosurgery
Allan D Levi, R John Hurlbert, Paul Anderson, Michael Fehlings, Raj Rampersaud, Eric M Massicotte, John C France, Jean Charles Le Huec, Rune Hedlund, Paul Arnold
STUDY DESIGN: A retrospective study was undertaken that evaluated the medical records and imaging studies of a subset of patients with spinal injury from large level I trauma centers. OBJECTIVE: To characterize patients with spinal injuries who had neurologic deterioration due to unrecognized instability. SUMMARY OF BACKGROUND DATA: Controversy exists regarding the most appropriate imaging studies required to "clear" the spine in patients suspected of having a spinal column injury...
February 15, 2006: Spine
Joyce A Smith, John H Siegel, Shabana Q Siddiqi
OBJECTIVE: To examine the effect of change in velocity (DeltaV) and energy dissipation (IE) on impact, above and below the test levels for Federal MVC Safety Standards, on the incidence of spine fractures (SF), spinal cord injury (SCI)), SF mortality and the associated injury patterns in Frontal (F) and Lateral (L) MVCs. Comparison of 214 patients with SF or SCI with 938 patients who did not have SF or SCI. METHODS: 1152 MVC adult drivers or front-seat passengers (701 F & 451 L) evaluated at 10 Level I CIREN study Trauma Centers together with vehicle and crash scene engineering reconstruction...
July 2005: Journal of Trauma
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