Thoracolumbar junction lateral spine dislocation - 07/06/10

Doi : 10.1016/j.otsr.2010.04.006

E. Morel ^a,^b,^⁎ , B. Ilharreborde ^c, F. Zadegan ^d, C. Dauzac ^d, L. Rillardon ^d, P. Guigui ^d
^a Biomechanics Laboratory, Mayo Clinic, Rochester, Minnesota, USA
^b Pediatric Surgery Department, Teaching Hospital Center, North Hospital, University Hospital of St Etienne, avenue Albert-Raimond, 42270 St-Priest-en-Jarez, France
^c Children and Adolescents Orthopaedic Surgery Department, Robert-Debré Hospital, Paris, France
^d Orthopaedic Surgery and Traumatology Department, Beaujon Hospital, Clichy, France

Corresponding author. Tel.: +33 4 77 82 80 37; fax: +33 4 77 82 84 65.

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Summary

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.

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Keywords : Thoracolumbar injuries, Spine trauma, Spine dislocation, Paraplegia, Spinal cord injury