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Management of a Pregnant Patient with a Burst Fracture Causing Neurologic InjuryA Case Report
Christopher J. Lenarz, MD1; Catherine M. Wittgen, MD1; Howard M. Place, MD1
1 Departments of Orthopaedic Surgery (C.J.L. and H.M.P.) and Vascular Surgery (C.M.W.), Saint Louis University Hospital, 3635 Vista Avenue, St. Louis, MO 63110. E-mail address for C.J. Lenarz: lenarzcj@slu.edu. E-mail address for C.M. Wittgen: wittgenc@slu.edu. E-mail address for H.M. Place: place@slu.edu
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Departments of Orthopaedic Surgery and Vascular Surgery, Saint Louis University Hospital, St. Louis, Missouri

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Jul 01;91(7):1747-1749. doi: 10.2106/JBJS.H.01044
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A thoracolumbar fracture in a pregnant patient is uncommon and is generally associated with relative osteoporosis of pregnancy1,2. We know of only one report that has addressed traumatic thoracolumbar fractures in pregnant women3. That study described two patients who had a flexion-distraction fracture treated in a delayed fashion, and neither of them had a neurologic deficit. We describe the treatment of a thirty-nine-year-old woman with a burst fracture of the twelfth thoracic vertebra with an incomplete spinal cord injury and a viable pregnancy. We believe this to be the first report of the surgical treatment of a traumatic fracture associated with a spinal cord injury in a pregnant woman. The patient was informed that data concerning the case would be submitted for publication, and she consented.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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