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Updated: Dec 29, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Seizure-induced thoracolumbar burst fractures - Not to be missed
Aaron S Robichaud1, Tricia K Barry1, Sean P Barry1
1Division of Neurosurgery, Dalhousie University, Division of Neurosurgery, Halifax Infirmary, 1796 Summer Street, Halifax, NS, Canada, B3H 3A7.
Abstract:
While rare, post-ictal thoracolumbar burst fractures are commonly missed due to confounding factors, resulting in delayed treatment and the potential for serious neurological deficits. This paper serves as a call for a high-degree of clinical suspicion when treating post-ictal patients to ensure they undergo a focused neurological examination of the lower extremities. If unresponsive/uncooperative, spinal precautions should be maintained until the spine can be cleared clinically or radiographically. In all events, if the patient is complaining of musculoskeletal pain possibly originating from the spine, radiographic evaluations are warranted to prevent possible deficits caused by a missed thoracolumbar fracture.
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