FRACTURE DISLOCATION OF THE FOURTH LUMBAR VERTEBRA WITH PARALYSIS

Reduction of a Case with Recovery

¹ The Orthopaedic Department, Golden State Hospital.

Although only one case is cited, it is felt that the description of the procedures used may be of some value. It proves the practicability and possibility of a closed reduction. It shows that wherefracture has occurred, fusion operation may not be indicated, as spontaneous fusion between the injured vertebrae may be expected. It emphasizes the relief of paralysis that may be expected by relieving the stretching or pressure that must be inflicted on the cauda or nerves as they pass between the vertebrae in marked displacements. The case is unique because of the multiple fractures, the absolute lack of injury to the bodies of the vertebrae, and the marked displacement. The early return of function and absence of pain in the back, and the recovery of most of the muscular control are encouraging.

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