Lumbar Fractures Involving Five Vertebrae: A Case Report

We report a 20-year-old man who sustained lumbar fractures involving 5 vertebrae following a road traffic accident. He was initially treated non-operatively to allow multiple pedicles to heal. He developed post-traumatic kyphosis for which corrective osteotomy and posterior spinal instrumented fusio...

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Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) 2011-12, Vol.19 (3), p.389-391
Main Authors: Jettoo, Prithee, Sharma, Himanshu, Andrews, John R, Sanderson, Paul L
Format: Article
Language:English
Subjects:
Accidents, Traffic
Adult
Humans
Injuries
Kyphosis - etiology
Kyphosis - surgery
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - injuries
Male
Multiple Trauma - surgery
Osteotomy
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Spinal Fusion
Tomography
Tomography, X-Ray Computed
Traffic accidents & safety
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Summary:We report a 20-year-old man who sustained lumbar fractures involving 5 vertebrae following a road traffic accident. He was initially treated non-operatively to allow multiple pedicles to heal. He developed post-traumatic kyphosis for which corrective osteotomy and posterior spinal instrumented fusion was performed. He achieved a good functional outcome. We emphasise the need for careful radiological evaluation in patients with high-energy trauma, and the option of treating such complex injuries by non-operative means. If post-traumatic kyphosis develops, it can be dealt with later and the most mobile segments of the lumbar spine can be preserved.
ISSN:1022-5536
2309-4990
DOI:10.1177/230949901101900329