Fracture Spine (L2 –L3 ) With Paraparesis - Conservative Management
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Thoraco lumbar is most common region for spinal injuries with neurological involvement . There are two transitional mobile zones of spinal, one is cervicothoracic and second is thoraco lumbar. Throught clinical, neurological examination & various imaging modalities are required to assess the spinal injuries. Management of fractures of thoraco lumbar spine is controversial for several reasons. To date there are only two clinical randomized controlled studies conducted to compare the outcome of operative & non operative management. Different fracture pattern observed in spine are compression fracture, Burst fracture -both stable & unstable, flexion & distraction injuries and fracture dislocations MRI is best modality to assess the soft tissue & neurological involvement & CT Scan is ideal modality to evaluate bony injury. Non operative & operative treatment depends upon the neurological status of patient, determination of spinal column functional integrity based on specifically injured structures & magnitude of deformity.
Authors and Affiliations
nand Kishore Goyal, Shubham Mishra, Gautam Shah
Keywords
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