Abstract:
RATIONALE:Traumatic nucleus pulposus sequestration (TNPS) usually occurs concurrently with severe destruction of bone. TNPS combined with a slight thoracolumbar flexion- distraction fracture, triggering a disastrous nerve injury, has rarely been reported. Due to the atypical radiologic manifestations, such a patient can easily be overlooked. PATIENT CONCERNS:Hereby, we present a TNPS patient as well as a slight thoracolumbar flexion-distraction fracture and serious neurologic symptoms. DIAGNOSES:T12 spinous process fracture, L1 flexion distraction fracture, thoracolumbar traumatic nucleus pulposuse sequestration and lower limbs incomplete paralysis INTERVENTIONS:: To avoid further neurologic compromise, an urgent laminectomy and exploration of the spinal canal was performed. OUTCOMES:After decompression OR and 4 months rehabilitation, the patient's neurologic function improved remarkably. LESSONS:A slight flexion-distraction fracture following injury is liable to eclipse the concurrence of TPNS. For this patient, a high-resolution MRI was needed to make a definitive diagnosis and guide surgery. Once TPNS has been diagnosed, sufficient decompression and discectomy surgery should be performed without delay.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Yin R,Chang P,Zhu Q,Cheng F,Zhao B,Gu R,Zhang BYdoi
10.1097/MD.0000000000010952subject
Has Abstractpub_date
2018-06-01 00:00:00pages
e10952issue
25eissn
0025-7974issn
1536-5964pii
00005792-201806220-00012journal_volume
97pub_type
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