A previously healthy 46-year-old male presented to the emergency department with the sole complaint of lower back pain after being struck by a car while walking. Physical examination revealed the patient to be hemodynamicaly stable and in moderate distress secondary to back pain. Maintaining spinal precautions, the patient was log-rolled and found to have midline lumbar spine tenderness with a ...

INTRODUCTION The aim of this study was to test the hypothesis that all blunt trauma patients, presenting with a Glasgow coma scale (GCS) score of 15, without intoxication or neurological deficit, and no pain or tenderness on log-roll can have any thoracolumbar fracture excluded without imaging. MATERIALS AND METHODS All patients diagnosed with a thoracolumbar fracture presenting to the emerge...

introduction: necessity of imaging for symptom-free conscious patients presented to emergency department (ed) following traumatic thoracolumbar spine injuries has been a matter of debate. the present study was aimed to evaluate the diagnostic value of clinical findings in prediction of traumatic thoracolumbar injuries compared tocomputed tomography (ct) scan. methods: the present diagnostic val...

Introduction Few studies have evaluated the functional outcomes of traumatic thoracic and lumbar vertebral body fractures. This study evaluated the functional and clinical outcomes of patients, who sustained a fracture to the thoracolumbar area of the spine (T10 to L2 region), with ≥ 25° kyphosis versus those with less kyphotic curvature. Methods The trauma registry records of two level 1 tra...

OBJECTIVE To chronicle the conservative treatment and management of an osteoporotic patient presenting with acute back pain resulting from a lumbar compression fracture. CLINICAL FEATURES A 74-year old male presented with acute back pain in the thoracolumbar region after an episode of lifting. Radiographic evaluation revealed generalized demineralization and a moderate wedge compression fract...

The authors described a lumbar spine fracture that is characterized on anteroposterior x-ray views by separation of the pedicular shadows. It is almost invariably associated with posterior interlaminar herniation of the cauda equina through a dorsal dural split, and anterolateral entrapment or amputation of the nerve root. The fracture is unstable and requires internal fixation and fusion at th...

STUDY DESIGN Retrospective study. PURPOSE To evaluate the relationship between a new osteoporotic vertebral fracture and instrumented lumbar arthrodesis. OVERVIEW OF LITERATURE In contrast to the growing recognition of the importance of adjacent segment disease after lumbar arthrodesis, relatively little attention has been paid to the relationship between osteoporotic vertebral fractures an...

PURPOSE To assess whether canal compromise determines neurological deficit in thoracolumbar and lumbar burst fractures. METHODS 105 patients aged 17 to 60 (mean, 34) years who had burst fractures in the thoracolumbar (n=82) and lumbar (n=23) regions were included. Fractures were classified according to the Denis classification. The extent of spinal canal compromise was assessed by computed to...

Although little attention has been paid to the less common rheumatoid involvement of the thoracic and lumbar regions, some studies have shown that rheumatoid synovitis with erosive changes can develop in these diarthrodial joints. We report a patient with seropositive rheumatoid arthritis (RA) involving the thoracic and lumbar vertebra with a collapse of the T12 vertebra, who was treated with p...

Burst fractures most frequently affect the thoracolumbar spine due to the fulcrum of increased motion occurring at the T12-L1 junction. However, isolated burst fractures of the fifth lumbar (L5) vertebra can occur but are very rare. We present a woman with a fracture-dislocation of the fifth lumbar vertebra complicated by neurological damage. She was treated by posterior surgery with transpedic...