Unique Combination of Junctional Level Injuries to the Spine

Injuries of the spine are not uncommon, they can have devastating consequences. Serious accidents like traffic, falling and sports' accidents are commonly associated with spinal trauma. In a 7-year review of 1,447 spine fractures, 202 (14%) were due to sporting or recreational causes, of which 84 (42%) were associated with paralysis, they occur in 11.2% of motorcyclists and 14.1 % of car occupants accidents. Burst fractures represent 15% of spine fractures, 10% of these are multiple; almost half of the multiple are noncontagious. These mostly occur due to high energy impaction events, and the junctional ones are usually unstable and highly associated with neural tissue affection. Lumbosacral traumatic spondylolesthesis is itself a rare entity. Up to our knowledge and search of the literature through pub med, we didn’t find any case reported with multiple junctional complicated injuries involving thoracolumbar burst fracture dislocation and lumbosacral fracture dislocation as in our case, adding the fact that our patient had a small flake fracture in the right occipital condyle and a tear drop fracture of C2.