Nonunion of Traumatic Lumbar Fracture: Case Report
Nonunion of flexion-distraction thoracolumbar fractures has few
been described previously. The case report discussed a case of
nonunion of traumatic lumbar fracture. A 30-year-old man suffered
a traumatic L1-2 flexion-distraction fracture and no paraplegia. After
complete bed rest 2 months, then hyperextension thoracolumbar
cast 3 months, he still felt back pain when out-of-bed activity.
X-ray images demonstrated the fracture was not united. At last,
the patient underwent open reduction of the fracture nonunion
and L1-2 posterior fusion using short segmental pedicle screw
instrumentation with autogenous iliac crest graft. The patient gained
an excellent functional restoration at 5 months after operation. This
suggests that the disease entity may require surgical treatment as
early as possible. Spinal fusion combined instrumentation fixation
and bone graft may be the best treatment.