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2023, Number 4

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Ortho-tips 2023; 19 (4)

Dislocation fracture of L2 (AO type C N1 M1) a quick sequence of actions. Case report

Villalvazo BA, Calderón VJR, Rosales MNA

Language: Spanish
References: 19
Page: 233-238
PDF size: 263.86 Kb.


ABSTRACT

Introduction: spinal fractures are mainly associated with high-energy trauma that require correct primary stabilization (application of advanced trauma life support protocol), multidisciplinary management of concomitant injuries and definitive treatment established based on the various existing instability scales. Objective: to point out the importance of an early diagnostic-therapeutic intervention in order to obtain a positive result in the patient's quality of life. Clinical case: a 21-year-old male, who started suffering after being crushed by a metal door weighing approximately 300 kg in the thoracolumbar region, was admitted to the emergency department where hemodynamic stabilization was performed. Surgical treatment was performed during the first 24 hours after the traumatic event, by reduction of L2 dislocation with transpedicular instrumentation of T12-L4 plus posterior release. Upon discharge from the hospital, the patient is followed up through consultation, obtaining an adequate motor function with a minimum of residual symptomatology, achieving an adequate reintegration in the social and labor environment of the patient. Conclusion: the adequate implementation of actions for early definitive treatment influences the final prognosis and quality of life of the patient.


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