The American journal of orthopedics
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Case Reports
Treatment of unstable intertrochanteric hip fractures associated with spinal fractures. A treatment dilemma.
Treatment approaches to a patient with polytrauma comprising combined spinal and hip fractures need more careful planning than those for a patient with an isolated spinal or hip fracture. The patient in this case presentation had multiple burst fractures of the spine, but was neurologically intact. ⋯ The presence of a thoracic or lumbar fracture, in addition to a hip or femur fracture, may require an altered therapeutic approach. We present an approach to treating this complex problem without the use of a fracture table.