Conus medullaris syndrome without lower-extremity involvement in L-1 burst fractures: Report of four cases

Journal of Neurosurgery: Spine

Volumn 4, Issue 3, 2006, Pages 265-269

  Chou, Dean ^a,b   Hartl, Roger ^a,c   Sonntag, Volker K H ^a  

^a BARROW NEUROLOGICAL INSTITUTE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c WEILL CORNELL MEDICAL COLLEGE   (United States)

Author keywords

Burst fracture; Conus medullaris; Lumbar spine

Indexed keywords

ADULT; ARTICLE; BLADDER FUNCTION; CASE REPORT; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; FOLLOW UP; HUMAN; INTESTINE FUNCTION; LEG MOVEMENT; LUMBAR SPINE; MALE; MOTOR PERFORMANCE; NEUROLOGIC DISEASE; NEUROLOGIC EXAMINATION; PHYSICAL EXAMINATION; POSTOPERATIVE PERIOD; SPINAL CORD COMPRESSION; SPINAL CORD INJURY; SPINE FRACTURE; SPINE SURGERY; DECOMPRESSION SURGERY; LUMBAR VERTEBRA; METHODOLOGY; NEUROSURGERY; PATHOLOGY; PLASTIC SURGERY;

ADULT; DECOMPRESSION, SURGICAL; HUMANS; LUMBAR VERTEBRAE; MALE; NEUROSURGICAL PROCEDURES; RECONSTRUCTIVE SURGICAL PROCEDURES; SPINAL CORD COMPRESSION; SPINAL FRACTURES;

EID: 33645740861     PISSN: 15475654     EISSN: None     Source Type: Journal    
DOI: 10.3171/spi.2006.4.3.265     Document Type: Article

References (19)

1. Adams RD, Victor M, Ropper AH: Diseases of the spinal cord, in Adams RD, Victor M, Ropper AH (eds): Principles of Neurology, ed 6. New York: McGraw-Hill, 1997, pp 1227-1277
2. Dall BE, Stauffer ES: Neurologic injury and recovery patterns in burst fractures at the T12 or L1 motion segment. Clin Orthop Relat Res 233:171-176, 1988
3. Denis F: The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 8:817-831, 1983
4. Fontijne WP, de Klerk LW, Braakman R, Stijnen T, Tanghe HL, Steenbeek R, et al: CT scan prediction of neurological deficit in thoracolumbar burst fractures. J Bone Joint Surg Br 74:683-685, 1992
5. Gertzbein SD, Court-Brown CM, Marks P, Martin C, Fazl M, Schwartz M, et al: The neurological outcome following surgery for spinal fractures. Spine 13:641-644, 1988
6. Hashimoto T, Kaneda K, Abumi K: Relationship between traumatic spinal canal stenosis and neurologic deficits in thoracolumbar burst fractures. Spine 13:1268-1272, 1988
7. Huertas J: Localization of lesion involving lower spinal segments and the cauda equina, in Haymaker W (ed): Bing's Local Diagnosis in Neurological Diseases. St. Louis: Mosby, 1969, pp 105-113
8. Keene JS, Fischer SP, Vanderby R Jr, Drummond DS, Turski PA: Significance of acute posttraumatic bony encroachment of the neural canal. Spine 14:799-802, 1989
9. Kilcoyne RF, Mack LA, King HA, Ratcliffe SS, Loop JW: Thoracolumbar spine injuries associated with vertical plunges: reappraisal with computed tomography. Radiology 146:137-140, 1983
10. Kim NH, Lee HM, Chun IM: Neurologic injury and recovery in patients with burst fracture of the thoracolumbar spine. Spine 24:290-294, 1999
11. Limb D, Shaw DL, Dickson RA: Neurological injury in thoracolumbar burst fractures. J Bone Joint Surg Br 77:774-777, 1995
12. Lindahl S, Willen J, Irstam L: Computed tomography of bone fragments in the spinal canal. An experimental study. Spine 8:181-186, 1983
13. Nakahara T, Saito T, Muroi A, Sugiura Y, Ogata M, Sugiyama Y, Yamamoto T: Intravascular lymphomatosis presenting as an ascending cauda equina: conus medullaris syndrome: remission after biweekly CHOP therapy. J Neurol Neurosurg Psychiatry 67:403-406, 1999
14. Petursson SR, Boggs DR: Spinal cord involvement in leukemia: a review of the literature and a case of Ph1+ acute myeloid leukemia presenting with a conus medullaris syndrome. Cancer 47:346-350, 1981
15. Scherokman B, Vukelja S: Diabetic neuropathy simulating conus medullaris syndrome. Arch Intern Med 148:459-460, 1988
16. Tanaka S, Kubota M, Fujimoto Y, Hayashi J, Nishikawa K: Conus medullaris syndrome secondary to an L1 burst fracture in osteoporosis. A case report. Spine 18:2131-2134, 1993
17. Trafton PG, Boyd CA Jr: Computed tomography of thoracic and lumbar spine injuries. J Trauma 24:506-515, 1984
18. Vishteh AG, Sankhla S, Anson JA, Zabramski JM, Spetzler RF: Surgical resection of intramedullary spinal cord cavernous malformations: delayed complications, long-term outcomes, and association with cryptic venous malformations. Neurosurgery 41:1094-1101, 1997
19. Watanabe T, Vaccaro AR, Kumon H, Welch WC, Rivas DA, Chancellor MB: High incidence of occult neurogenic bladder dysfunction in neurologically intact patients with thoracolumbar spinal injuries. J Urol 159:965-968, 1998