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Brown-Sequard syndrome following cervical spine compression fracture.

Brown-Sequard Syndrome is most commonly caused by penetrating trauma to the spinal cord. The case of a 15-year-old male who developed Brown-Sequard Syndrome following blunt cervical spine trauma sustained in an automobile accident is presented. Brown-Sequard Syndrome is rarely seen following blunt trauma; however, one must be suspicious so as not to overlook this type of lesion.

Adolescent↗

[Treatment-diagnostic tactics for conservative treatment of uncomplicated compression fractures of the spine in the lower chest and lumbar regions].

Fractures of the vertebra bodies were divided by the authors into 5 groups depending on the character of destruction. Reposition is not required in a deficiency of the height of the injured body to 15%. Reposition is necessary if the deficiency is more than 15%. The aim of the reposition is to correct the axis of the vertebra by means of reestablishment of the shape and mass of the injured vertebra body by unbending and simultaneous stretching the vertebral column. The proposed method was tested in treatment of 241 patients. The necessary reposition was achieved in 84.4% of the patients. Primary invalidism was determined in 8.1% for 1-2 years. The working ability was completely recovered in 83.1% of the patients and partly in 16.9%.

Female↗

[Treatment of compression fractures of the spine by repositioning and immobilization in hyperextensive plaster casts].

The treatment results of 57 patients were evaluated clinically and radiologically according to Daniaux. A comparison of the X-ray pictures taken immediately after injury and after reposition of displacement with those after removal of a plaster cast and at a follow-up examination revealed in all the patients improvement of various degree of the wedge-shaped deformation after reposition and application of a plaster cast. Loss of correction after removal of a plaster cast was found in 11 patients, mainly with the wedge shaped deformation and lowering also of the posterior part of the vertebral body. On final follow-up examination, loss of correction was found in further 12 patients. They were mainly patients aged over 50 years, most of them women, and patients with primary vertebral body deformation of over 1/3 of the height. The best results were obtained in young persons with the wedge-shaped deformation of the vertebral body of less than 1/3 of the original vertebral body height.

Adolescent↗

Roentgen rounds #85. Compression fractures of lumbar vertebrae 3, 4, and 5.

Vertebral fractures in children are very rare and usually result from hyperflexion. Symptoms may be minimal, and most children are neurologically normal. Multiple vertebral fractures are common. The active growth plate, if uninjured, allows restoration of the vertebral body height, and growth of adjacent vertebrae can compensate for angular deformity.

Braces↗