[Paraparesis following stable L4 burst fracture Possible correlation with preexisting degenerative stenosis of the spinal canal].
A patient with degenerative stenosis of the lumbar spinal canal developed paraparesis of both legs following a stable L4 burst fracture. However, neither the stenosis nor the fracture have caused a significant narrowing of the spinal canal. Surgical decompression and dorsal stabilization has led to relief of the neurological deficit. This case demonstrates that even a stable burst fracture may cause paraparesis and that a degenerative spinal canal stenosis is a predisposing factor.
Aurich
M
M
Lehrstuhl für Orthopädie der Friedrich-Schiler-Universität Jena, Waldkrankenhaus "Rudolf-Elle", Eisenberg. matthias_aurich@web.de
Anders
J
J
Wittner
B
B
Holz
U
U
D000368:Aged; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D005260:Female; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D020335:Paraparesis / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D011859:Radiography; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D013123:Spinal Fusion; D013130:Spinal Stenosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D013223:Statistics as Topic; D016896:Treatment Outcome