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Post-traumatic lumbar nerve root entrapment into the spinous process of the lumbar spine
  1. Diwakar Shankar,
  2. Mohammad Kaif and
  3. Krishna Kumar
  1. Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Diwakar Shankar; dev123diwakar{at}gmail.com

Abstract

Thoracolumbar fractures constitute a significant portion of spinal trauma, accounting for 15–20% of the cases. These fractures, caused by high-impact injuries, may involve tears of the posterior ligamentous complex, presenting a high chance of neurological injury ranging from dural tears to spinal root avulsion. This case report discusses a rare occurrence of avulsion of lumbosacral nerve roots posteriorly, becoming entrapped in the fractured spinous process of the L2 lumbar vertebra, leading to cauda equina syndrome following trauma and its implications during surgery.

  • Trauma
  • Neuroimaging
  • Neurological injury
  • Spinal cord
  • Trauma CNS /PNS

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: DS, MK and KK. The following authors gave final approval of the manuscript: MK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.