Abstract
Introduction: Thoracic and lumbar spine fracture, type C of MAGERL is one of the most biomechanically and neurologically unstable lesions, induced by significant damage to the bone, disk and ligament complex. Materials and Methods: We report two cases of Thoracic and lumbar fracture, type C of MAGERL hospitalized in the Neurosurgery department of the Grand Yoff General Hospital in Dakar during a period from June 2014 to June 2017. Observations: 1st case: 44-year-old patient, referred from abroad because of multi systemic trauma related on road traffic accident. On physical examination sustained a thoracic spine trauma classified ASIA D. Body CT scan showed T4 - T5 fracture-dislocation Type C of MAGERL, multiple ribs fracture with a right slight haemothorax, a sternal, a left humerus and scapulas fracture. Thoracic Posterior approach was done using laminar hooks. Clinical and anatomical results are good. 2nd case: 20-year-old patient, referred for thoraco-lumbar trauma because of occupational accident. The initial clinical examination classified it ASIA B. CT scan investigation, demonstrated a L1-L2 fracture type C of MARGEL. Thoraco lumbar spine posterior approach was done using pedicular screw fixation. Two years after trauma the patient recovered completely from his paraplegia. Conclusion: Thoracic and lumbar spine fractures, type C of MAGERL are compelling and instable fracture. Performing posterior instrumentation can achieve a good stabilization and reduction of the lesion.
Highlights
Thoracic and lumbar spine fracture, type C of MAGERL is one of the most biomechanically and neurologically unstable lesions, induced by significant damage to the bone, disk and ligament complex
Materials and Methods: We report two cases of Thoracic and lumbar fracture, type C of MAGERL hospitalized in the Neurosurgery department of the Grand Yoff General Hospital in Dakar during a period from June 2014 to June 2017
Observations: 1st case: 44-year-old patient, referred from abroad because of multi systemic trauma related on road traffic accident
Summary
Fractures of the thoracic and lumbar spine could lead to severe injuries that can dramatically compromise functional and vital prognosis of the patient [1]. Thoracolumbar is the second most common segment involved in the vertebral column following cervical segment in patients with spinal injuries. Magerl type C fractures are the most severe and devastating lesions with the worse prognosis because they are often complicated with neurological deficit [2]. The characteristics of this type of fracture are anterior and posterior column injuries with associated rotation and translation of vertebral bodies. The aim of this study is to present our post-therapeutic results
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