The Journal of Bone and Joint Surgery (American). 2009;91:1747-1749.
doi:10.2106/JBJS.H.01044
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Management of a Pregnant Patient with a Burst Fracture Causing Neurologic Injury

A Case Report

Christopher J. Lenarz, MD1, Catherine M. Wittgen, MD1 and Howard M. Place, MD1

1 Departments of Orthopaedic Surgery (C.J.L. and H.M.P.) and Vascular Surgery (C.M.W.), Saint Louis University Hospital, 3635 Vista Avenue, St. Louis, MO 63110. E-mail address for C.J. Lenarz: lenarzcj@slu.edu. E-mail address for C.M. Wittgen: wittgenc@slu.edu. E-mail address for H.M. Place: place@slu.edu

Investigation performed at the Departments of Orthopaedic Surgery and Vascular Surgery, Saint Louis University Hospital, St. Louis, Missouri

The first 150 words of the full text of this article appear below.


   Introduction
 
A thoracolumbar fracture in a pregnant patient is uncommon and is generally associated with relative osteoporosis of pregnancy1,2. We know of only one report that has addressed traumatic thoracolumbar fractures in pregnant women3. That study described two patients who had a flexion-distraction fracture treated in a delayed fashion, and neither of them had a neurologic deficit. We describe the treatment of a thirty-nine-year-old woman with a burst fracture of the twelfth thoracic vertebra with an incomplete spinal cord injury and a viable pregnancy. We believe this to be the first report of the surgical treatment of a traumatic fracture associated with a spinal cord injury in a pregnant woman. The patient was informed that data concerning the case would be submitted for publication, and she consented.


   Case Report
 
A thirty-nine-year-old woman who was seventeen weeks pregnant fell from a standing height on the day prior to presentation after she had . . . [Full Text of this Article]


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