Abstract
Case: We presented a case of extension-distraction spine injury at lumbosacral junction in a patient with fused spine concomitant with a lumbosacral transitional vertebra. Detail of an exceedingly rare case of traumatic lumbosacral hyperextension-distraction fracture in the individual was described and reviewed. Conclusion: Although the occurrence of extension-distraction spine injury at lumbosacral junction is extremely rare, it can occur in some circumstances. Application of damage control spine concept including early definitive stabilization of spine fractures and minimally invasive spine surgery can give satisfactory outcomes in the polytraumatized patient.
Highlights
As we know that, the spine can be injured by several mechanisms which is a single or combination of axial force, shear force, bending moment and axial torque [1]
Conclusion: the occurrence of extension-distraction spine injury at lumbosacral junction is extremely rare, it can occur in some circumstances
Most traumatic extension-distraction injuries were described in adults with rigid spines resulting from diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) [4-7]
Summary
The occurrence of extension-distraction spine injury at lumbosacral junction is extremely rare, it can occur in some circumstances. Application of damage control spine concept including early definitive stabilization of spine fractures and minimally invasive spine surgery can give satisfactory outcomes in the polytraumatized patient
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