alexa Traumatic Disc Herniation Following Flexion-Distraction
ISSN: 2167-1222

Journal of Trauma & Treatment
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Case Report

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
Tel: +4166035851
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.
 

Abstract

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.

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