创伤后腰椎神经根嵌顿入腰椎棘突。
Post-traumatic lumbar nerve root entrapment into the spinous process of the lumbar spine.
机构信息
Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2024 Feb 19;17(2):e257802. doi: 10.1136/bcr-2023-257802.
Abstract
Thoracolumbar fractures constitute a significant portion of spinal trauma, accounting for 15-20% of the cases. These fractures, caused by high-impact injuries, may involve tears of the posterior ligamentous complex, presenting a high chance of neurological injury ranging from dural tears to spinal root avulsion. This case report discusses a rare occurrence of avulsion of lumbosacral nerve roots posteriorly, becoming entrapped in the fractured spinous process of the L2 lumbar vertebra, leading to cauda equina syndrome following trauma and its implications during surgery.
摘要
胸腰椎骨折构成了脊柱创伤的重要部分，占病例的 15-20%。这些由高能量损伤引起的骨折可能涉及后韧带复合体的撕裂，存在从硬脑膜撕裂到脊神经根撕脱的高神经系统损伤风险。本病例报告讨论了一种罕见的腰骶神经根后外侧撕脱，被夹在 L2 腰椎骨折的棘突内，导致创伤后马尾综合征及其在手术中的影响。
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