Lumbar burst fractures

Abstract

HS is a 21-year-old male who presents status post fall from 20 ft, transferred via EMS. On presentation, the patient demonstrates a GCS of 15, denies any LOC, and complains of severe lower back pain. On primary survey, HS demonstrates a patent airway and is hemodynamically stable. His secondary survey is otherwise negative. He complains of right lower extremity radicular pain and feels that he is not able to urinate.