FRACS Orthopaedic Exams

iSAWEs

A fifteen-year-old girl was struck by a motor vehicle from behind and dragged approximately 15 m. Notable findings on examination included deep skin abrasions along a large portion of the back. The patient presented with severe paraparesis of both lower extremities below the L3 level and diminished sensation to light touch and pinprick below the L4 level. She had diminished perirectal sensation and loss of anal sphincter tone. The Achilles reflex was absent bilaterally.

1. What is your diagnosis?
2. What issues in management will you consider in this girl?

Webpage Last Modified: 16 July, 2011
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