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Case Reports
. 2008 Jun;26(5):633.e5-7.
doi: 10.1016/j.ajem.2007.09.023.

Complete fracture-dislocation of the thoracolumbar spine without paraplegia

Cheng-Ta Hsieh  1 , Guann-Juh Chen, Chung-Che Wu, Yih-Huei Su
Affiliations
Case Reports

Complete fracture-dislocation of the thoracolumbar spine without paraplegia

Cheng-Ta Hsieh et al. Am J Emerg Med. 2008 Jun.

Abstract

Complete fracture-dislocation of thoracolumbar spine without significant neurologic deficits is a rare entity. The possible mechanism may result from the spontaneous decompressive fractures of the spinal elements with sparing of the spinal cord. Here, we report a case of a healthy 50-year-old man who presented with complete fracture-dislocation of T12 through L1 vertebrae without paraplegia. Early diagnosis and early surgery with decompression, reduction, and stabilization is the best policy in management of this unstable spine injury.

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