Lumbar burst fracture associated with bowel, bladder, and sexual dysfunction: case study.
Lumbar burst fractures occur when unusual force and flexion are placed on the spine, causing the vertebral body to rupture and possibly protrude into the spinal canal. A resulting conus medullaris injury is possible, but not common. In this case presentation, a young man suffered bowel, bladder, and sexual dysfunction after a 25-foot fall that caused a burst fracture of the first lumbar vertebra. The presentation's primary focus is the nursing education needed to care for patients who experience the unusual side effect of conus medullaris injury. The psychosocial aspects attributable to age, developmental stage, and stigma for a young man with these dysfunctions also are explored.
Storch
Jennifer S
JS
Department of Neurosurgery, University Hospital, ML 0515, 231 Albert Sabin Way, Cincinnati, OH 45267-0515, USA. editor@mayfieldclinic.com
D000058:Accidental Falls; D000328:Adult; D001696:Biomechanical Phenomena; D001828:Body Image; D007172:Erectile Dysfunction / Q000209:etiology / Q000451:nursing* / Q000523:psychology; D005242:Fecal Incontinence / Q000209:etiology / Q000451:nursing* / Q000523:psychology; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D024802:Nurse's Role; D009730:Nursing Assessment; D010353:Patient Education as Topic; D012648:Self Care; D013117:Spinal Cord Compression / Q000209:etiology / Q000451:nursing / Q000523:psychology; D016103:Spinal Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013123:Spinal Fusion; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000451:nursing* / Q000523:psychology; D014546:Urinary Catheterization