Management of fracture dorso-lumbar spine in a pregnant female by surgery in prone position

Eur Spine J. 2018 Jul;27(Suppl 3):270-275. doi: 10.1007/s00586-017-5127-2. Epub 2017 May 16.

Abstract

Surgical management of thoraco-lumbar spine fracture in pregnancy has specific concerns during surgery like positioning, approach, and radiation exposure to fetus. We report a case of burst fracture of 12th thoracic vertebrae with paraplegia in a young female with 26 weeks of gestation. Surgery was performed in prone position on a Toronto frame. This report also discusses the management of thoraco-lumbar spine fracture in pregnancy with review of literature.

Keywords: Dorso-lumbar fracture; Pregnancy; Toronto frame.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Female
  • Fracture Fixation, Internal / methods*
  • Humans
  • Laminectomy / methods*
  • Lumbar Vertebrae / injuries
  • Lumbar Vertebrae / surgery
  • Magnetic Resonance Imaging
  • Paraplegia / etiology
  • Patient Positioning / methods*
  • Pedicle Screws / adverse effects
  • Pregnancy
  • Prone Position
  • Spinal Fractures / complications
  • Spinal Fractures / surgery*
  • Thoracic Vertebrae / injuries
  • Thoracic Vertebrae / surgery