Thoracolumbar junction lateral spine dislocation.
The authors describe a case of traumatic lateral spine dislocation at the thoracolumbar junction level, without fracture, in a healthy young adult, complicated by a complete neurological deficit. The main aspects of surgical management are discussed based on a review of the literature. Control of the spinal cord is a mandatory first step, before reduction, independently of neurological deficits considerations. Instrumented stabilization and fusion are achieved thereafter; levels selection for instrumentation and fusion depends on the injury location.
Morel
E
E
Biomechanics Laboratory, Mayo Clinic, Rochester, Minnesota, USA. etienne.morel@chu-st-etienne.fr
Ilharreborde
B
B
Zadegan
F
F
Dauzac
C
C
Rillardon
L
L
Guigui
P
P
D000063:Accidents, Traffic; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries; D014057:Tomography, X-Ray Computed; D055815:Young Adult