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Title: L4-L5 total dislocation with Cauda equina syndrome: A case report
Authors: Chatupon Chotigavanichaya
Rattanaporn Chamnan
Thanase Ariyawatkul
Poovarin Bunnak
Monchai Ruangchainikom
Sirichai Wilartratsami
Mahidol University
Keywords: Medicine
Issue Date: 1-Oct-2016
Citation: Journal of the Medical Association of Thailand. Vol.99, No.10 (2016), 1161-1165
Abstract: © 2016, Medical Association of Thailand. All rights reserved. Background: There are very few reports in the literature that describe total anterolateral fracture dislocation of L4 and L5. To present a case report of L4-L5 total dislocation with major neurological deficit and open fracture of left distal femur. Case Report: A 45-year-old Thai woman was transported to hospital with severe trauma, low back pain, a shallow lacerated wound on her back, and ecchymosis around waist and trunk. Closed reduction was initially performed and followed with posterior decompression, fusion, and instrumentation with pedicular screws and rod systems from L3-S1. Open reduction and internal fixation of distal femur was then performed. Conclusion: At 1-year follow-up, the patient could ambulate with left ankle-foot orthosis (AFO) using a walker.
ISSN: 01252208
Appears in Collections:Scopus 2016-2017

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