

•Rajan 46/M
•H/o RTA auto toppled
•Pain over lower back
•paraplegia
O/E:
•consious ,oriented,Gc fair, vitals stable
•Power: Paraplegia
•Sensations decreased below T12
•No bowel and bladder disturbances


CT:
•T12 – B/L tranverse process
•L1 – burst # with retopulsion of tiny bony fragment.
•L2 – B/L tranverse process

MRI:
•Burst # D12, L1 L2 with retropulsion of # fragments.
•Spinal cord hematoma from D9 level

•Posterior approach
•PLIF + Decompression + Bone grafting
•Post operative period uneventful