H Mehdian* and Luigi A Nasto

The Centre for Spinal Studies and Surgery, QMC, Nottingham University Hospital NHS Trust, UK

*Corresponding Author: H Mehdian, The Centre for Spinal Studies and Surgery, QMC, Nottingham University Hospital NHS Trust, UK.

Received: November 10, 2022; Published: December 06, 2022

Abstract

28-year old gentleman was involved in an RTA and sustained a burst fracture of L4 with 90% canal compromise (Figure 1). He had a significant neurological deficit in both lower limbs, involving bilateral L4, L5 and S1 nerve roots, associated with loss of sensation and power. The patient had sacral sparing with well-preserved perineal sensation. Considering significant neurological deficit there were 2 options to treat his fracture were available:

• Anterior surgery, removal the retropulsed fragment, restoration of anterior column with implant followed by posterior screw fixation.
• Posterior surgery only, decompression and spinal stabilization.

The posterior surgery was contemplated and satisfactory result was achieved.

Keywords: Anterior Surgery; Burst Fracture; Trauma

Bibliography

1. McEvoy Richard D and Bradford David S. “The Management of Burst Fractures of the Thoracic and Lumbar Spine Experience in 53 Patients”. Spine7 (1985): 631-637.
2. N Jindal., et al. “The role of fusion in the management of burst fractures of the thoracolumbar spine treated by short segment pedicle screw fixation, A prospective randomised trial”. The JBJS British8 (2012): 1101-1106.

Citation: H Mehdian and Luigi A Nasto. “Reduction of Significant Retropulsed Fragment by Posterior Approach in L4 Burst Fracture". Acta Scientific Clinical Case Reports 4.1 (2023): 11-13.

Copyright: © 2022 H Mehdian and Luigi A Nasto. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.