Lomber Fraktür Dislokasyon
Özet
Motosiklet kazası sonrası L1 omurga kırığı ve spondilopitozis gelişen 53 yaşındaki erkek hasta, ASIA B seviyesinde ciddi nörolojik kayıpla acil servise başvurmuştur. Vakit kaybetmeden ameliyata alınan hastaya kapalı redüksiyon, uzun segment stabilizasyon ve laminektomi uygulanmış; işlem sırasında duradaki yırtıklar mikrodiseksiyon ile onarılmıştır. Cerrahi sonrası rehabilitasyon sürecine giren hastanın motor güçlerinde belirgin iyileşme gözlenmiş ve altı ay sonunda desteksiz yürüyebilir duruma gelmiştir. Nörojenik mesane nedeniyle kateter kullanımı devam etse de erken cerrahi müdahale hastanın mobilizasyon başarısında kritik rol oynamıştır.
A 53-year-old male patient presented with ASIA B neurological deficit following a motorcycle accident that caused an L1 vertebral burst fracture and spondyloptosis. Emergency surgery involving closed reduction, long-segment stabilization, and laminectomy was performed, during which dural lacerations and entrapped nerve roots were meticulously repaired. Postoperative follow-ups showed significant recovery in motor strength, allowing the patient to achieve unassisted mobilization within six months. Although neurogenic bladder management continues, the case highlights that rapid surgical intervention is essential for improving functional outcomes in complex spinal dislocations.
Referanslar
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