흉요추부 굴곡-신연 손상후 발생한 급성 경막외 혈종에 동반된 하반신 부전마비 : 증례 보고 A Case Report = Paraparesis accompanied with Acute Epidural Hematoma in the Thoracolumbar Flexion-Distraction Injury

다국어 초록 (Multilingual Abstract)

We report a case of 53-year-old man who sustained fall from height and showed rapid neurologic deficit with paraparesis. He had flexion-distraction injury of T_11-T_12 level with complete disruption of posterior ligamentous complexs and large epidural hematoma compressing the spinal cord posteriorly at the fracture site. We diagnosed his pathologic condition radiologically by plain X-ray, myelo-CT and MRL. And we carried out emergency decompressive laminectomy, removal of the hematoma and posterior stabilization with under the ligamentum flavum at T_11-T_12 level. Postoperative recovery was unenentful with normal sensation and normal motor power 2 weeks after operation. Emergency posterior decompression and posterior stabilization should be a good treatment modality for the unstable spine injury with epidural hematoma compressing the spinal cord posteriorly with neurologic deficit.