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https://doi.org/10.1016/j.ajem.2007.09.023

has been cited by the following article:

• TITLE: Thoracolumbar Spine Fracture-Dislocation without Neurological Deficit: A Case Report and Review of the Literature

  AUTHORS: Roger Mulumba Ilunga, Abdoulaye Diop, Mohameth Faye, Vital Nacoulma, Nicaise Akodjetin Mahougnon Sodjinou, Momar Codé Ba

  KEYWORDS: Spine Fracture-Dislocation, Thoracolumbar Spine, Spine Surgery, Trauma

  JOURNAL NAME: Open Journal of Orthopedics, Vol.11 No.5, May 13, 2021

  ABSTRACT: 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.