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Updated: May 11, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Bilateral Locked Posterior Fracture-Dislocations of the Shoulders Following a Seizure: A Case Report
Diane Ghanem1, Jayden Simo2, Henry Fox1
1Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.
Case:
A 34-year-old man presented with bilateral locked posterior shoulder dislocations associated with proximal humerus fractures secondary to a tonic-clonic seizure. The patient underwent open reduction and internal fixation of both shoulders. At 1 year postoperatively, the patient exhibited near-complete recovery of shoulder function with no pain, excellent radiographic outcomes, and no evidence of early avascular necrosis (AVN) or hardware complications.
Conclusion:
While this injury's sequelae can be devastating, an interdisciplinary approach may help optimize outcomes, and a prompt reduction with stable fixation may facilitate earlier fracture healing and rehabilitation progression, potentially contributing to a lower likelihood of AVN.
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Assessment:
1. Clinical Evaluation:
History: