Abstract

Patients with spinal injuries require meticulous check for general status and neurological damages. Imaging studies are important for determing the treatment. In this paper, we discuss the diagnosis and choice of treatment for flexion-distraction fracture-dislocation from the retrospective study of three cases of this injury.On diagnosis, posterior element disruption which was palpated in back served as a useful factor in the diagnosis of this injury. These posterior element damages could be seen cleary in sagittal images on MRI.As for structural problems, the spinal column was injured from posterior to anterior, and all three columns were damaged, which means that this type of injury is considered unstable injury. Conservative treatment may be suggested, but rigid external support should be used to stabilize the spine. Usually surgical treatment may be indicated for reconstruction and stabilization of the spine. In early cases, only posterior surgery is performed to reconstruct the spine. However, for misdiagnosed old cases, anterior and posterior approaches are needed to correct angular kyphotic deformity and provide good anterior support.

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