Abstract
A 46-year-old male was riding an all-terrain vehicle at about 30 mph when he lost control and fell backward off the vehicle, landing on his buttocks and back. He immediately experienced severe back pain and was brought to the nearest hospital for evaluation, and then transferred to a tertiary referral center for treatment of an L1 burst fracture. On evaluation, he complained of severe low back pain, along with numbness and tingling in his lower extremities, but no weakness, or loss of bowel or bladder control. He was tender to palpation over the thoracolumbar junction with no palpable stepoff or interspinous widening. His motor exam was normal, and he had decreased sensation in the L4, L5, and S1 dermatomes. He had no other associated injuries.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Recommended Reading
Bradford DS, McBride GG (1987) Surgical management of thoracolumbar spine fractures with incomplete neurologic deficits. Clin Orthop 218:201–216
Dunn HK (1984) Anterior stabilization of thoracolumbar injuries. Clin Orthop 189:116–124
Ghanayem A, Zdeblick T (1997) Anterior instrumentation in the management of thoracolumbar burst fractures. Clin Orthop 335:89–99
Kaneda K, Abumi K, Fujiya M (1984) Burst fractures with neurologic deficits of the thoracolumbar-lumbar spine: results of anterior decompression and stabilization with anterior instrumentation. Spine 9:788–795
Kaneda K, Taneichi H, Abumi K et al (1997) Anterior decompression and stabilization with the Kaneda device for thoracolumbar burst fractures associated with neurologic deficits. J Bone Joint Surg Am 79:69–83
Wood KB, Bohn DK, Mehbod A (2005) Anterior versus posterior treatment of thoracolumbar burst fractures without neurological deficit: a prospective randomized study. J Spin Dis Tech 18:S15–S23
Wood KB, Butterman G, Mehbod A et al (2003) Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit: a prospective randomized study. J Bone Joint Surg Am 85:773–781
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Berlin Heidelberg
About this chapter
Cite this chapter
Choi, G., Klineberg, E., Gupta, M. (2010). Anterior Treatment of Thoracolumbar Burst Fractures. In: Patel, V., Burger, E., Brown, C. (eds) Spine Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03694-1_25
Download citation
DOI: https://doi.org/10.1007/978-3-642-03694-1_25
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-03693-4
Online ISBN: 978-3-642-03694-1
eBook Packages: MedicineMedicine (R0)