A case of dual three-column thoracic spinal fractures following traumatic injury.
Noncontiguous spinal injury
Spondyloptosis
Thoracic spinal injury
Trauma
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2020
2020
Historique:
received:
19
04
2020
accepted:
14
05
2020
entrez:
9
7
2020
pubmed:
9
7
2020
medline:
9
7
2020
Statut:
epublish
Résumé
Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions. A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3-T5 and T11-12 fractures, warranting T3-L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient's neurological status remained unchanged. This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.
Sections du résumé
BACKGROUND
BACKGROUND
Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions.
CASE DESCRIPTION
METHODS
A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3-T5 and T11-12 fractures, warranting T3-L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient's neurological status remained unchanged.
CONCLUSION
CONCLUSIONS
This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.
Identifiants
pubmed: 32637203
doi: 10.25259/SNI_189_2020
pii: SNI-11-150
pmc: PMC7332507
doi:
Types de publication
Case Reports
Langues
eng
Pagination
150Informations de copyright
Copyright: © 2020 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
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pubmed: 26329650
World Neurosurg. 2016 Jul;91:670.e7-670.e11
pubmed: 27058609
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pubmed: 27682267
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pubmed: 23970107
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pubmed: 16227897