Spinopelvic Dissociation Case Report and Literature Review

Cureus. 2023 May 30;15(5):e39750. doi: 10.7759/cureus.39750. eCollection 2023 May.

Abstract

A 32-year-old male was brought to our emergency department following trauma due to fall of heavy object (tree) on his back. After Advanced Trauma Life Support (ATLS) protocol implementation, the patient was noted to have a complete perianal tear and loss of power in L3-S1 measuring 1/5 complete loss of sensation below the level of L2. Imaging showed spinopelvic dissociation with cauda equina syndrome. Spinopelvic fixation and fusion with rigid fixation done. The patient regained normal function following extensive physiotherapy. This paper concludes that good and prompt surgical intervention facilitated neurological recovery following decompression.

Keywords: cauda equina syndrome; incomplete spinal cord injury; listhesis; lumbar burst fractures; spinopelvic dissociation.

Publication types

  • Case Reports