Traumatic Spinal Fracture Dislocation with Neurological Deficit in a 14-Year-Old Boy: Management by Spine Decompression, Posterior Fusion, and Continued-Short-Segment Instrumentation

胸腰椎骨折脫位被定義爲脊椎三個column的受傷，根據Denis 3-column的觀念，此傷害也許會造成椎體的不穩定和神經的缺損。目前，治療胸腰椎和腰椎的骨折脫位仍有許多爭議。雖然有些作者建議對此骨折脫位採取保守性治療，然而，此種傷害所造成椎體內在的不穩定性則常常需要手術的介入做長期的固定。手術的方式包括前或後融合固定經已被許多醫療院所報告。我們報告一個14歲第一腰椎外傷性脫位骨折的男性病患，他因爲從三樓躍下，造成嚴重的下背痛，兩下肢無力以及尿液滯留。我們決定採取神經減壓術和連續性短節數的後融合固定。經過一年的追蹤，病人癒後非常好，至目前爲止，並沒有固定物的鬆動。

關鍵字

骨折脫位；脊椎；後融合固定

並列摘要

Thoracolumbar fracture-dislocation by definition is a three-column injury, according to the Denis three-column concept, which may yield an unstable spinal column and neurological deficit. Treatment of fracture-dislocation of the thoracolumbar and lumbar spine remains controversial. Although conservative treatment has been beneficial, the inherent instability of this injury usually requires surgical intervention utilizing an anterior or posterior approach for long-term stabilization. We report a 14-year-old boy exhibiting a traumatic L1 fracture-dislocation sustained after jumping from a building’s third floor. Severe low back pain, lower extremity weakness, and urine retention were addressed by nerve decompression and continuedshort- segment fusion from the posterior approach. Excellent clinical outcome and no failure of hardware was reported at the six-month follow-up.

並列關鍵字

Fracture-dislocation ； Spinal ； Segmental instrumentation

國際替代計量

Traumatic Spinal Fracture Dislocation with Neurological Deficit in a 14-Year-Old Boy: Management by Spine Decompression, Posterior Fusion, and Continued-Short-Segment Instrumentation

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