Thoracic and Lumbar Spine Fracture, Type C of Magerl: About Two Cases and Review of Literature

• 作者: Aladji Ibrahim Fondo Habib Abdoul Karim Ouiminga Magatte Gaye N’Famara Sylla Roger Mulumba Ilunga Youssoupha Sakho
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: SPINE TRAUMA MAGERL Posterior Instrumentation
• 年，卷（期）: 2020,（8）
• 页码范围: 172-178
• 页数: 7页
• 分类号: R65

摘要

<strong>Introduction:</strong> 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. <strong>Materials and Methods: </strong>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. <strong>Observations:</strong> 1^st 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. 2^nd 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. <strong>Conclusion: </strong>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.