Multi-level lumbar spine trauma represents a severe form of spinal injury associated with high-energy mechanisms and significant morbidity. These injuries often involve multiple adjacent or non-contiguous vertebrae, resulting in mechanical instability and neurological deficits. This study analyzed 36 patients with multi-level lumbar injuries admitted between 2019 and 2024. Clinical, radiological, and surgical outcomes were evaluated to determine optimal diagnostic and therapeutic strategies. Computed tomography and magnetic resonance imaging were utilized to classify fracture patterns and assess neural element compromise. Surgical stabilization with or without decompression was performed in 25 patients, while 11 patients were treated conservatively. Surgical management demonstrated superior neurological recovery and better maintenance of spinal alignment. Early diagnosis with MRI and timely decompression were associated with improved outcomes. The findings emphasize the necessity of a multidisciplinary approach in managing complex lumbar spine trauma.

Multi-level lumbar injury, spinal instability, decompression, pedicle fixation, neurological deficit, MRI.

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