Spinal Cord Injuries - Comprehansive Management & Research - page 126

C- DISLOCATIONS OF THE VERTEBRAL COLUMN
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The quite unstable fracture-dislocation of L2 became stabilized by postural reduction
and the fracture of the articular process consolidated. Of special interest is the growing
upwards of the anterior tip of the superior plate, joining a triangular exostosis which
developed from the inferior anterior part of the adjacent ist lumbar vertebra. A-p X-ray
I -11 -60
FIG. 63. Final stage of Fig. 59.
showed firm long bridge formation between Li and L2 vertebrae. Neurological symp
toms : incomplete cauda equina lesion below L4. Finally good recovery of quadriceps,
hip flexors and adductors, especially on right, sensory loss complete below L4 on left and
L3 on right. Able to walk on elbow crutches. Some return of bladder and sexual functions.
Returned to his former job as articled clerk with chartered accountant.
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