Case report of thoracic level fracture secondary to a fall from a great height: An adequate functional outcome with timely surgical management

Authors

DOI:

https://doi.org/10.31157/an.v1iInpress.643

Keywords:

spinal cord injury, thoracolumbar fracture, TLICS, Posterolateral fixation

Abstract

Introduction: Spinal cord trauma (SCI) can be a devastating injury for the traumatic patient, being associated with high mortality rates and significant morbidity. More than 70% of spinal cord injuries are accompanied by polytrauma and the socioeconomic burden that a spinal cord injury implies is substantial Case presentation: Female with fracture at T6-T7 type C level of the AO secondary to a fall of three meters treated with fixation posterolateral . Discussion: Type C fractures of the AO are a surgical emergency due to instability and neurological deficit.   Key words: Spinal cord injuries, Thoracolumbar fracture, TLICS, Posterolateral fixation.

 

References

- Khurana B, Sheehan SE, Sodickson A, Bono CM, Harris MB et al. Traumatic thoracolumbar spine injuries: what the spine surgeon wants to know. Radiographics 2013;33; 2031–46. DOI: 10.1148/rg.337135018 DOI: https://doi.org/10.1148/rg.337135018

- Kepler, C. K., Vaccaro, A. R., Koerner, J. D., Dvorak, M. F., Kandziora, et al. Reliability analysis of the AO Spine thoracolumbar spine injury classification system by a worldwide group of naïve spinal surgeons. European Spine Journal. 2015; 25(4), 1082–1086. DOI: 10.1007/s00586-015-3765-9 DOI: https://doi.org/10.1007/s00586-015-3765-9

- J M. Piazza JS. Timer of Surgery After Spinal Cord Injury, et al. Neorosurgery Clinic of North America. 2017; 28: p. 31-39. DOI: 10.1016/j.nec.2016.08.005 DOI: https://doi.org/10.1016/j.nec.2016.08.005

- Wardrope J RGLT. Risk assessment for spinal injury after trauma. Bmj. 2004; 328, 721-723. doi: 10.1136/bmj.328.7442.721 DOI: https://doi.org/10.1136/bmj.328.7442.721

- Holmes J MPPea. Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med. 2001;: p. 866-72. DOI: 10.1111/j.1553-2712.2001.tb01146.x DOI: https://doi.org/10.1111/j.1553-2712.2001.tb01146.x

- Lindsey RW GZPS. Injury to the vertebra and spinal cord. 5th ed. Moore EE FDMK, editor. New York: McGraw-Hill; 2004.

- Fehling, Vaccaro, Wilson, et al. Early versus delayed decompression for traumatic cervical spinal cord injury: results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS). PLoS ONE. 2012. 7. e32037. DOI: 10.1371/journal.pone.0032037 DOI: https://doi.org/10.1371/journal.pone.0032037

- Baabor A SCTJVF, et al. Actualización en la fisiopatología y manejo de traumatismo raquimedular. Rev. Chil. Neurocirugía. 2016;(42): p. 144-5 DOI: https://doi.org/10.36593/rev.chil.neurocir.v42i2.115

- Mark S. Greenberg , Fracturas de columna lumbosacra , Manual de neurocirugia. 2th . Ed. Thieme; 2022

Published

2023-11-24

How to Cite

Morales Valencia, C., Solis Perez, J. R., Vaca Ruiz, M. A., Morales Valencia, E., & Escobar Gasca, M. M. (2023). Case report of thoracic level fracture secondary to a fall from a great height: An adequate functional outcome with timely surgical management. Archivos De Neurociencias, 1(Inpress). https://doi.org/10.31157/an.v1iInpress.643

Issue

Section

Case report