Spinal fracture dislocation - L1

Case contributed by Frank Gaillard

Presentation

Ejected from his car during an MVA.

Patient Data

Age: 25 years
Gender: Male

Severe flexion distration fracture dislocation.

  • burst L1
  • displaced and rotated posterosuperior fragment impacting into the conus
  • disruption of both articular processes.

Severe flexion distration fracture dislocation.

  • burst L1
  • displaced and rotated posterosuperior fragment impacting into the conus
  • disruption of all major ligaments
    • ALL
    • PLL
    • ligamentum flavae
    • interspinous ligaments
    • supraspinous ligament
  • disruption of both articular processes.

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