Ivanov Kiril, Kalnev Mihail, Petrov Petar-Preslav, Bashev Simeon, Penchev Plamen
Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR.
Neurological Surgery, University Multi-profile Hospital for Active Treatment (UMHAT) Saint George, Plovdiv, BGR.
Cureus. 2023 Dec 20;15(12):e50836. doi: 10.7759/cureus.50836. eCollection 2023 Dec.
Compression fractures in the thoracolumbar junction are one of the most frequent types of spine injuries. They can be the result of trauma or underlying conditions of the vertebrae. We present a case report of a 68-year-old patient with pain and loss of mobility in the lumbar spine after sustaining a trauma via falling from a significant height. Lumbar spondylography and a following CT scan revealed a complex compression fracture of L1 with degenerative osteoporotic changes of lumbar vertebrae and several pathologies of the lumbosacral junction. A surgical intervention was performed in the form of posterior transpedicular vertebral stabilization with titanium rods and screws. Postoperatively, relief from the lumbar region pain was reported. No neurological deficit was observed. The patient was mobilized, rehabilitated, and discharged from the hospital. This case report emphasizes the use of reliable imaging methods for the diagnosis of thoracolumbar compression fracture and highlights the reliability of surgical treatment of the condition via posterior transpedicular vertebral stabilization.
胸腰段交界处的压缩性骨折是脊柱损伤中最常见的类型之一。它们可能是外伤或椎体潜在疾病的结果。我们报告一例68岁患者，因从高处坠落受伤后出现腰椎疼痛和活动受限。腰椎X线摄影及随后的CT扫描显示L1椎体复杂压缩性骨折，伴有腰椎退行性骨质疏松改变及腰骶部多种病变。采用钛棒和螺钉进行后路经椎弓根椎体稳定术进行手术干预。术后患者报告腰部疼痛缓解。未观察到神经功能缺损。患者能够活动、接受康复治疗并出院。本病例报告强调了使用可靠的影像学方法诊断胸腰段压缩性骨折，并突出了通过后路经椎弓根椎体稳定术治疗该疾病的可靠性。
