Acute Translation Fracture of the Lumbar Spine With Increased Motoric Outcomes: A Case Report

This case report describes a rare and serious spinal injury, a translation fracture, which can lead to nerve damage and motor function impairment. Early diagnosis and treatment are crucial to prevent further neurological damage. The patient in this report, a 52-year-old male, suffered a translation fracture at the L1-L2 level after a fall. He underwent immediate realignment, posterior stabilization, and early rehabilitation. Following surgery and rehabilitation, the patient showed improved neurologic function. This case suggests that surgical restoration with extended fixation should be considered for patients with complete traumatic lumbar dislocations and stable hemodynamics.

• 1
  The patient, initially presenting with complete motor and sensory loss (ASIA score A), showed improvement to an MRC score of 3 after surgery and rehabilitation.
• 2
  Immediate realignment and posterior stabilization, followed by an early rehabilitation program, led to improved neurologic function in the patient.
• 3
  The case suggests the potential for complete neurological recovery in patients with complete traumatic lumbar dislocations, even those initially presenting with paraplegia.