Lumbar burst fracture associated with bowel, bladder, and sexual dysfunction: case study

Area of Science:

• Orthopedics
• Neurology
• Nursing Education

Background:

• Lumbar burst fractures result from significant spinal trauma.
• These fractures can cause vertebral body rupture and spinal canal protrusion.
• Conus medullaris injury is a rare but possible complication.

Observation:

• A young man sustained a first lumbar vertebra burst fracture from a 25-foot fall.
• He experienced subsequent bowel, bladder, and sexual dysfunction.
• This case highlights an uncommon conus medullaris injury presentation.

Findings:

• The patient's symptoms indicate a conus medullaris injury.
• Nursing care must address both the physical and psychosocial needs of patients with such injuries.
• Psychosocial challenges include age-related, developmental, and stigma-related issues.

Implications:

• Effective nursing education is crucial for managing conus medullaris injuries.
• Addressing the psychosocial impact is vital for young patients' well-being.
• This case underscores the importance of recognizing rare neurological complications of spinal trauma.