逆势而行：L3 骨折后马尾神经完全损伤综合征的非凡恢复。时间仍然至关重要。
Against the odds: extraordinary recovery from complete cauda equina syndrome following L3 fracture. Time still matters.
作者信息
Antiga Silvia, Adajay Klint Asafu, Anwar Fahim, Vergara Pierluigi
机构信息
Department of Rehabilitation Medicine, Addenbrooke's Hospital , Cambridge, UK.
Department of Neurosurgery, Addenbrooke's Hospital , Cambridge, UK.
出版信息
Spinal Cord Ser Cases. 2016 Nov 10;2:16027. doi: 10.1038/scsandc.2016.27. eCollection 2016.
INTRODUCTION
Cauda equina syndrome secondary to lumbar fracture is a relative rare event. Although it is usually considered as an emergency, there is still controversy in the literature regarding the optimal timeframe of surgical intervention in complete spinal cord and cauda equina injuries.
CASE PRESENTATION
We report a case of a 24-year-old victim of a road traffic accident admitted with an L3 fracture causing complete cauda equina syndrome, who underwent early surgery within 12 h and made an extraordinary recovery (from AIS A to E).
DISCUSSION
Although the timing of surgery in complete traumatic spinal cord injury and cauda equina syndrome remains controversial, this case highlights the importance of early surgical intervention even in complete injuries.
引言
腰椎骨折继发马尾综合征是一种相对罕见的情况。尽管通常将其视为急症，但对于完全性脊髓和马尾损伤的手术干预最佳时机，文献中仍存在争议。
病例报告
我们报告一例24岁道路交通事故受害者，因L3骨折导致完全性马尾综合征入院，在12小时内接受了早期手术，并实现了非凡的恢复（从美国脊髓损伤协会损伤分级A到E）。
讨论
尽管完全性创伤性脊髓损伤和马尾综合征的手术时机仍存在争议，但该病例凸显了即使在完全性损伤中早期手术干预的重要性。
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