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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
572
Seizure-Induced Spinal Fractures: A Systematic Review
Luis A Robles1, Amancio Guerrero-Maldonado2
1Section of Neurosurgery, Hospital Joya, Puerto Vallarta, Jalisco, Mexico larob@prodigy.net.mx.
International Journal of Spine Surgery
|June 30, 2022
Summary
Seizure-induced spinal fractures (SISF) are uncommon but serious injuries. Physicians should consider SISF in patients with back pain after a seizure, especially in the thoracolumbar region.
Area of Science:
- Orthopedics
- Neurology
- Radiology
Background:
- Epilepsy patients face increased skeletal injury risk, including spinal fractures during seizures.
- Seizure-induced spinal fractures (SISF) are rare, primarily affecting the thoracolumbar spine.
- Limited literature exists on the characteristics of this specific injury pattern.
Purpose of the Study:
- To analyze the characteristics of seizure-induced spinal fractures (SISF).
- To enhance awareness and understanding of this uncommon clinical entity.
Main Methods:
- Systematic review of PubMed and Scopus databases.
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Analysis of data from 34 case reports involving 38 patients.
Main Results:
- The review identified 38 cases of SISF, predominantly in the thoracic and lumbar spine.
- Common fracture types included AO spine classification A1 and A4.
- Demographics, clinical presentation, imaging findings, and treatment strategies were characterized.
Conclusions:
- SISF must be considered in patients with seizures and persistent dorsolumbar pain or neurological deficits.
- SISF commonly affects the thoracolumbar spine, with neurological deficits occurring in approximately 25% of cases.
- Increased physician awareness of SISF is crucial for timely diagnosis and management.

