Neurologically Intact Fracture-Dislocations of the Thoracolumbar Spine

Öğün, Tunç Cevat; Özdemir, Mustafa; Arazi, Mehmet; Kapicioğlu, M. I. Safa; Kutlu, Abdurrahman
March 2001
Journal of Musculoskeletal Research;Mar2001, Vol. 5 Issue 1, p53
Academic Journal
Purpose: In this study, we presented ten neurologically intact fracture-dislocations of the thoracolumbar spine which are extremely rare, and reported the results of treatment. Methods: Ten fracture-dislocations of the thoracolumbar spine were treated in a period of nine years. Surgical reduction and stabilization were performed in six patients. Four patients rejected surgery and were treated conservatively. The average follow-up was 55 months. Results: During the conservative course of treatment, surprisingly, the neurologic status did not deteriorate. However, varying degrees of pain and roentgenographic deterioration of spinal alignment and canal compromise were detected. In the operated group, there were also no deteriorations in the neurologic status and the roentgenograms revealed no serious loss of reduction. One of the patients from the conservative group and two of the patients from the operative group were able to return to their pre-injury works. Conclusion: Surgical treatment was satisfactory, both clinically and radiologically, in a group of patients with thoracolumbar fracture-dislocations. Well-known drawbacks of conservative treatment, including long-term bed-rest, social and economic losses and long-lasting treatment, led us to favor surgical treatment.


Related Articles

  • Transcondylar traction as a closed reduction technique in vertically unstable pelvic ring disruption. M. Thaunat; F. Laude; P. Paillard; G. Saillant; Y. Catonné // International Orthopaedics;Feb2008, Vol. 32 Issue 1, p7 

    Abstract  Little information is provided in the literature describing an efficient reduction technique for pelvic ring disruption. The aim of this study is to assess the use of the transcondylar traction as a closed reduction technique for vertically unstable...

  • Active functional restoration and work hardening program returns patient with 2 1/2-year-old elbow fracture-dislocation to work after 6 months: a case report. Tepermen, Lorne J. // Journal of the Canadian Chiropractic Association;Mar2002, Vol. 46 Issue 1, p22 

    Presents a case of an individual that sustained a radial head fracture and dislocation following a motor vehicle accident. Discussion on rehabilitation protocols involving work hardening and active functional restoration; Physical examination of the elbow; Importance of effective management and...

  • radiologic case study.  // Orthopedics;Sep2004, Vol. 27 Issue 9, p880 

    Presents a radiologic case of a patient who presented with right hip pain after falling of a horse and the diagnosis of a pipkin type II fracture of the right femoral head. Classifications of femoral head fractures; Background cases of femoral fracture-dislocations; Complications in the...

  • Bilateral radial head fractures with elbow dislocation. Raman, Raghu; Srinivasan, Kuntrapaka; Matthews, Stuart J. E.; Giannoudis, Peter V. // Orthopedics;May2005, Vol. 28 Issue 5, p503 

    Presents a case of bilateral elbow dislocations associated with Mason Type 4 radial head fractures. Medical history of the patient; Clinical description of the condition; Discussion on isolated radial head fractures; Differential diagnosis of elbow dislocations.

  • malreduction.  // Taber's Cyclopedic Medical Dictionary;2005, p1298 

    A definition of the term "malreduction" is presented. It refers to the imperfect replacement of a dislocated or fractured bone. The definition is from the "Taber's Cyclopedic Medical Dictionary," published by F.A. Davis Co.

  • Pott's fracture.  // Taber's Cyclopedic Medical Dictionary;2005, p1747 

    The article presents a definition for the term "Pott's fracture," which refers to fracture of the lower end of the fibula and medial malleolus of the tibia, with dislocation of the foot outward and backward.

  • fracture dislocation.  // Taber's Cyclopedic Medical Dictionary;2005, p832 

    A definition of the medical term "fracture dislocation" is presented, which means a fracture near a dislocated joint.

  • Pathological vertebral fractures after spinal manipulation. Austin, R.T. // British Medical Journal (Clinical Research Edition);10/19/1985, Vol. 291 Issue 6502, p1114 

    Presents several cases of pathological vertebral fractures after spinal manipulation. Effects of spine manipulation without anesthesia; Estimation on the number of patients consulting for back pain; Symptoms of back pain in small proportion of patients.

  • Anterior fracture dislocation of sacroiliac joint: A rare type of crescent fracture. Trikha, Vivek; Singh, Vivek; Kumar, V. Senthil // Indian Journal of Orthopaedics;Mar/Apr2015, Vol. 49 Issue 2, p255 

    Crescent fractures of the pelvis are usually described as posterior sacro iliac fracture dislocations. Rarely anterior displacement of the fractured iliac fragment along with dislocation has been reported in crescent fractures. Four cases of anterior fracture dislocation of the sacro iliac joint...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics