Traumatic Disc Herniation Following Flexion-Distraction Injury of the Thoracolumbar Spine: A Rare Presentation
|Stephen Lewis*, Rohit Amritanand, Thomas Zochowski, So Kato, Sam Keshen|
|Division of Neurosurgery and Orthopedics, Toronto Western Hospital, Toronto, Canada|
|*Corresponding Author :||Stephen J. Lewis
Division of Neurosurgery and Orthopedics
Toronto Western Hospital, East Wing 1-E442
399 Bathurst Street, Toronto, Ontario, M5T 2S8, Canada
E-mail: [email protected]
|Received February 19, 2015; Accepted February 25, 2016; Published February 29, 2016|
|Citation: Lewis S, Amritanand R, Zochowski T, Kato S, Keshen S (2016) Traumatic Disc Herniation Following Flexion-Distraction Injury of the Thoracolumbar Spine: A Rare Presentation. J Trauma Treat 5:293. doi:10.4172/2167-1222.1000293|
|Copyright: © 2016 Lewis S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Objective: To report a rare presentation of Flexion-distraction injuries.
Summary of background data: To the best of our knowledge, traumatic disc herniation following non translated flexion distraction injuries of the thoracolumbar spine has not been reported in the English literature.
Methods: Description of the clinic and radiological presentation of a 35-year-old male who sustained a flexion distraction injury of the thoracolumbar spine following an assault.
Results: The intraoperative findings confirmed the presence of a large herniated disc fragment displacing the thecal sac. This was removed, the canal was decompressed and a hybrid screw-laminar hook construct was used to stabilize the fractured level while preserving uninjured motion segments.
Conclusions: MRI provides useful information to help define the pathology and management strategies in patients with discordance between their clinical presentation and imaging. It helped define a rare presentation of disc herniation and alerted us to the need for a formal decompression in this case of a non-translated flexion-distraction injury.