Citation

Sirinoglu D, Sarigul B, Derdiyok O, Baskurt O, Aydin MV. Trauma Case Rep 2021; 32.

Copyright

(Copyright © 2021, Elsevier Publishing)

DOI

10.1016/j.tcr.2021.100428

PMID

unavailable

Abstract

INTRODUCTION: Traumatic burst fractures most commonly occur in thoracolumbar junction. Maintenance of spinal stability and decompression of spinal canal are the main goals of management in these cases. Either anterior, posterior or combined approaches may be selected. For anterior corpectomy, mini-open lateral incision may be used. Case: 29 years old male patient, in whom posterior segmental instrumentation had been performed previously, readmitted 4 months later with a complaint of low back pain and urinary and gait incontinence. Radiological scans revealed iatrogenic kyphosis and loosening of uppermost transpedicular screws. Patient was managed via revision of posterior instrumentation and L1 corpectomy with cage and rod insertion.

RESULT: In patients with thoracolumbar burst fracture, loosening of screws and consequent iatrogenic kyphosis may be seen as a late complication. Combined anterior and posterior approach may regenerate spinal stability in these patients. Moreover; mini-open lateral incision with muscle sparing thoracotomy for anterior approach may cause less postoperative complications. © 2021 The Authors

Language: en

Keywords

adult; human; male; case report; spinal cord injury; suicide attempt; clinical article; priority journal; low back pain; computer assisted tomography; paraplegia; surgical approach; spine fracture; thoracotomy; feces incontinence; urine incontinence; Article; bone graft; hypesthesia; laminectomy; kyphosis; Kyphosis; spinal cord compression; spine stabilization; minimally invasive surgery; motor evoked potential; Anterior instrumentation; anterior lumbar corpectomy; anterior spine fusion; Burst fracture; Corpectomy; Mini-open incision; open surgery; Posterior instrumentation; posterior spine fusion; screw loosening; somatosensory evoked potential