{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T05:49:49Z","timestamp":1746337789835},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nThere have been many reports on the clinical, radiographic, and surgical management of thoracolumbar burst fractures attributed to high-energy trauma. Interestingly, few reports have described how to extract bone fragments associated with these injuries protruding into the spinal canal contributing to significant neurological deficits.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nAn 18-year-old male presented with a severe L3-level paraparesis (i.e., loss of motor\/sensory function below L3 lower extremity hyporeflexia, and sphincter dysfunction: American Spinal Injury Association [ASIA] Impairment Scale B) following a high-speed crash. The computed tomography and magnetic resonance studies revealed a L3 burst fracture with bone fragments protruding into the spinal canal causing marked cauda equina compression. Following a L3-L4 laminectomy, and opening of the dorsal dura, the bone fragments were ventrally impacted into the fractured L3 vertebral body a pedicle\/screw L1-L5 fusion was then completed.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nOne month later, the patient recovered to an ASIA Scale of C, (i.e., residual proximal 3\/5 and distal 2\/5 motor deficits, with partial sensory sparing).<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nTransdural ventral impaction of protruded bone fragments attributed to high speed lumbar burst fractures contributing to significant cauda equina compression can be safely\/effectively accomplished.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_611_2021","type":"journal-article","created":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T14:10:40Z","timestamp":1629123040000},"page":"406","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Transdural reduction of a bone fragment protruding into the spinal canal during surgical treatment of lumbar burst fracture: A case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Wakiko","family":"Saruta","sequence":"first","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiyuki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiro","family":"Kumabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Minami","sequence":"additional","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Kanematsu","sequence":"additional","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroya Shimauchi","family":"Ohtaki","sequence":"additional","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryotaro","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Hanakita","sequence":"additional","affiliation":[{"name":"Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Kanagawa, 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