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Case report shows effective management of lumbar spine fractures in an older woman, highlighting surgical approaches and outcomes.
Due to its high degree of mobility, the lumbar spine is the most common site of vertebral fractures. We report the case of a 55-year-old woman involved in a road traffic accident resulting in lumbar spine trauma. Clinical examination revealed low back pain aggravated by movement, associated with lower limb weakness graded 4/5 on the Medical Research Council (MRC) scale. Lumbar computed tomography demonstrated a fracture of the third lumbar vertebral body (L3) with retropulsion of the posterior vertebral wall. Consider adding a statement about the standard availability of fixation hardware at the institution and whether the delay was due to resource constraints, along with any ethical implications. The postoperative course was favorable, and the patient was discharged on postoperative day 10 after suture removal and satisfactory wound healing. In conclusion, lumbar spine fractures can be effectively managed through a posterior-only approach with satisfactory outcomes.
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Mohamed et al. (2026) studied this question.
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