Complete Lumbar Spine Dislocation With Full Neurological Recovery
Abdulaziz M Alshamrani1, Ahmed M Aldawsari1, Saud A Alhassoun2
1College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, SAU.
Cureus
|December 9, 2021
Summary
A rare case of traumatic lateral lumbar spine dislocation in a young woman is presented. Prompt diagnosis via CT scan and surgical fixation led to a full recovery and return to normal activities.
Area of Science:
- Orthopedics
- Neurosurgery
- Trauma Surgery
Background:
- The thoracolumbar spine is susceptible to high-energy trauma due to its transitional nature.
- Injuries in this region can lead to severe neurological deficits and spinal instability.
Observation:
- A 24-year-old female sustained a complete fracture-dislocation of the second lumbar vertebra after a fall.
- Clinical presentation included severe back pain, paraplegia, sensory loss, and loss of bowel/bladder control.
- Computed tomography revealed a complete lateral dislocation with a "double vertebrae" sign.
Findings:
- Surgical intervention involved open reduction and internal fixation via a posterior approach.
- Intraoperative monitoring using sensory-evoked potentials ensured neurological safety.
- Successful realignment of the thoracolumbar spine was achieved.
Implications:
- Complete traumatic lateral lumbar spine dislocation is exceptionally rare.
- Early CT diagnosis is critical for appropriate management and preventing further spinal cord injury.
- This case highlights the importance of timely surgical intervention for favorable outcomes in severe spinal trauma.
