Abstract:
STUDY DESIGN:This report characterises a 25 year old male patient with a complete burst fracture of the fifth lumbar vertebra with dislocation. He was treated by posterior surgery with transpedicular instrumentation and an expandable cage from the posterior approach. OBJECTIVES:Burst fractures of the fifth lumbar vertebra are extremely rare. Patients with positive neurological findings should be treated by the posterior approach. This surgery consists of reduction, decompression, transpedicular stabilisation and fusion. MATERIALS AND METHODS:The young man in our report was treated by posterior surgery only. It consisted of laminectomy, suture of the thecal sac tear, discectomies and subtotal removal of the fifth lumbar vertebra. Repositioning was carried out simultaneously with support using Synex TM Synthes USA telescopic cage and SOCON TM Aesculap Germany transpedicular fixator. RESULTS:The patient suffered neither wound complications nor instrumentation failure. He is currently able to walk with the help of peroneal bands but without crutches. CONCLUSIONS:Treatment of fractures of the fifth lumbar vertebra depends on fracture type and neurological findings. Conservative management of this condition is appropriate provided there is no neurological damage and canal stenosis and deformity is minimal. Surgical treatment of burst lumbar fractures with neurological deficit is strongly recommended. The optimum treatment remains debatable.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Kocis J,Wendsche P,Visna Pdoi
10.1007/s00701-008-0149-5subject
Has Abstractpub_date
2008-12-01 00:00:00pages
1301-5; discussion 1305issue
12eissn
0001-6268issn
0942-0940journal_volume
150pub_type
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journal_title:Acta neurochirurgica
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journal_title:Acta neurochirurgica
pub_type: 杂志文章
doi:10.1007/s00701-014-2171-0
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journal_title:Acta neurochirurgica
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journal_title:Acta neurochirurgica
pub_type: 传,历史文章,杂志文章
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更新日期:1981-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Acta neurochirurgica
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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journal_title:Acta neurochirurgica
pub_type: 杂志文章
doi:10.1007/BF01424572
更新日期:1988-01-01 00:00:00
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journal_title:Acta neurochirurgica
pub_type: 杂志文章
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更新日期:1997-01-01 00:00:00
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