Author(s)

Magatte Gaye^1*, Roger Mulumba Ilunga¹, N’Famara Sylla¹, Habib Abdoul Karim Ouiminga², Aladji Ibrahim Fondo¹, Youssoupha Sakho¹

¹Department of Neurosurgery, Grand Yoff General Hospital, Dakar, Senegal.
²Department of Neurosurgery, CHU Tengandogo, Ouagadougou, Burkina Faso.

Introduction: Thoracic and lumbar spine fracture, type C of MAGERL is one of the most biomechanically and neurologically unstable lesions, induced by significant damage to the bone, disk and ligament complex. Materials and Methods: We report two cases of Thoracic and lumbar fracture, type C of MAGERL hospitalized in the Neurosurgery department of the Grand Yoff General Hospital in Dakar during a period from June 2014 to June 2017. Observations: 1^st case: 44-year-old patient, referred from abroad because of multi systemic trauma related on road traffic accident. On physical examination sustained a thoracic spine trauma classified ASIA D. Body CT scan showed T4 - T5 fracture-dislocation Type C of MAGERL, multiple ribs fracture with a right slight haemothorax, a sternal, a left humerus and scapulas fracture. Thoracic Posterior approach was done using laminar hooks. Clinical and anatomical results are good. 2^nd case: 20-year-old patient, referred for thoraco-lumbar trauma because of occupational accident. The initial clinical examination classified it ASIA B. CT scan investigation, demonstrated a L1-L2 fracture type C of MARGEL. Thoraco lumbar spine posterior approach was done using pedicular screw fixation. Two years after trauma the patient recovered completely from his paraplegia. Conclusion: Thoracic and lumbar spine fractures, type C of MAGERL are compelling and instable fracture. Performing posterior instrumentation can achieve a good stabilization and reduction of the lesion.

Spine, Trauma, Magerl, Posterior Instrumentation

Gaye, M. , Ilunga, R. , Sylla, N. , Ouiminga, H. , Fondo, A. and Sakho, Y. (2020) Thoracic and Lumbar Spine Fracture, Type C of Magerl: About Two Cases and Review of Literature. Open Journal of Orthopedics, 10, 172-178. doi: 10.4236/ojo.2020.108020.