No. | Injury Pattern | AO Class | Spinal Injury Management | Time to Surgery | Length of Stay | Neurology at Admission | Neurology at Follow-up | Functional Status |
1 | Burst fracture L3 with complete paraplegia | A4 | L2-L4 stabilization with intermediate screws, laminectomy, and wide decompression | Day 1 | 45 | ASIA grade B | ASIA grade D | Walking with support, bowel/bladder intact |
2 | Zone 2 sacral fracture bilateral with spinopelvic dissociation, fracture spinous process of T1, T2, T3 (Figure 3) | C | Spinopelvic fixation (L4-S2AI screws) and decompression | Day 3 | 10 | ASIA grade B with bowel and bladder involvement | ASIA grade E | Walking without support, bowel/bladder intact |
3 | L2 chance fracture with paraparesis | B1 | L1-L3 short segment stabilization with intermediate screw fixation | Day 1 | 11 | ASIA grade B | ASIA grade E | Walks without support, able to bend, able to climb stairs |
4 | L2 chance fracture with complete paraplegia, transverse process fracture L1, L2, L3, L4, L5 | B1 | T12-L3 instrumentation, stabilization, laminectomy, and wide decompression | Day 2 | 45 | ASIA grade A | ASIA grade D | Walks with support, bowel/bladder intact, able to climb up, difficulty climbing down |
5 | L3 burst fracture with paraparesis, fractures of left lamina and body of C7, left transverse process of L2 and L3 and spinous process and bilateral transverse process of T11 (Figure 4) | A4 | L2-L4 stabilization and decompression | Day 2 | 31 | ASIA grade C | ASIA grade D | Walks with support, not able to climb stairs, not able to do job |
6 | L3 chance fracture with burn injury over the back, L1-L4 spinous process fracture | B1 | L2-L4 stabilization and decompression | Day 3 | 75 | ASIA grade E | ASIA grade E | Mobilization out of bed starting with walker, functionally dependent |
7 | T3 chance fracture | B1 | Advised to have surgery but refused, managed conservatively | - | 4 | ASIA grade E | ASIA grade E | Able to do all activities, mild back pain on prolonged activities |
8 | Fracture T3 vertebral body, fracture spinous process of T1, T2 | A3 | Conservative | - | 6 | ASIA grade E | ASIA grade E | Able to do all activities, back pain during prolonged standing |
9 | Compression fracture T3, T4, T5, T6, and T7, spinous process fracture C7, T1, T2, T5, and T6 (Figure 5) | B1 | Conservative | - | 6 | ASIA grade E | ASIA grade E | Mild back pain while lifting weight |
10 | T12 superior endplate impacted compression fracture | A1 | Conservative | - | 8 | ASIA grade E | ASIA grade E | Able to do all activities, returned to work |
11 | Fracture right transverse process of L5 | A1 | Conservative | - | 5 | ASIA grade E | ASIA grade E | Able to do all activities, returned to work |
12 | Contusion cervical spine, traumatic upper trunk brachial plexopathy (C5, C6) | - | Conservative physiotherapy | - | 18 | Left shoulder abduction grade 0/5, grip strength weak | Good motor recovery | On physiotherapy, difficulty in lifting object with left upper limb |
13 | L5 vertebrae body burst fracture | A3 | Conservative | - | 21 | ASIA grade E | ASIA grade E | Started walking with support, not able to do job |
Abbreviation: ASIA, American Spinal Injury Association.