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首页> 外文期刊>Open Journal of Urology >Thoracolumbar Spine Fracture-Dislocation without Neurological Deficit: A Case Report and Review of the Literature
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Thoracolumbar Spine Fracture-Dislocation without Neurological Deficit: A Case Report and Review of the Literature

机译：没有神经缺陷的胸腰椎骨折 - 脱臼：对文献的案例报告和审查

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Background: Thoracolumbar spine fracture-dislocations are very unstable and usually secondary to high energy trauma. Due to disruption of the entire vertebrae columns, the absence of neurological deficit is exceptional. Aim: The purpose of this work is to report our experience in the management of this entity in a context of limited resources and to make a review of the literature. Case presentation: A 30-year-old man was admitted with a severe low back pain after a traffic accident. Neurological functions were intact after examination. Radiological assessments revealed a complete L3-L4 fracture-dislocation. The patient underwent an open posterior reduction and internal long segment fixation. The post-operative was marked by a surgical site infection treated with surgical debridement and targeted antibiotic therapy. The neurological functions were preserved. Conclusion: Fracture-dislocations of the thoracolumbar spine are caused by high energy trauma and are remarkably unstable lesions. When they are associated with intact neurorological functions, reduction and stabilization of these fractures are a challenge.
机译：背景：胸腰椎骨折脱臼是非常不稳定的，通常是高能量创伤。由于整个椎骨柱的破坏，没有神经缺陷的缺乏特殊。 目标：这项工作的目的是在资源有限的背景下报告我们在管理本实体管理方面的经验，并对文献进行审查。 案例介绍：在交通事故后，一名30岁的男子患有严重的腰痛。检查后神经功能是完整的。放射性评估显示完整的L3-L4骨折脱位。患者接受了开放的后缩和内部长段固定。术后由用手术清创和靶向抗生素治疗治疗的手术部位感染标记。保存了神经功能。 结论：胸腰椎骨折的骨折是由高能量创伤引起的，并且具有非常不稳定的病变。当它们与完整的神经功能功能相关时，减少和稳定这些骨折是挑战。

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