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:: Volume 7, Issue 3 (9-2018) ::
Int J Med Invest 2018, 7(3): 64-72 Back to browse issues page
Fracture-Dislocation of the Thoracic Spine without Any Neurological Deficit: A Case Report and Review of the Literature
Naveed Nabizadeh , Alireza Yousof Gomrokchi * , Sam Bemani Lirgeshasi , , Milad Bahari
Bone and Joint Reconstruction Research Center , Shafa Orthopedic Hospital ,Iran University of Medical Sciences ,Tehran ,IR Iran
Abstract:   (451 Views)
Introduction: Thoracic spinal fracture dislocation injury usually is caused by a high-energy trauma. Therefore, this kind of injury should always be suspected in the patients who have sustained a multiple trauma. The thoracic spinal fracture-dislocation is commonly accompanied by neurological symptoms. In the literature, only few cases are reported who did not present neurological symptoms. Case presentation: A 25-year-old man was brought to our emergency department following a vigorous motor-vehicle accident, complaining from excruciating pain in his right shoulder. The promptly obtained radiographs revealed right shoulder fracture dislocation that was reduced through intervenus sedation, in the emergency department. The overt shoulder injury distracted the ER physician’s attention from the vertebral translation, visualized in the initial chest radiographs. Secondary survey, obtained on the next day, revealed a serious T5-T6 fracture-dislocation and absence of neurological deficit. The computed tomography and magnetic resonance imaging provided the details of the spinal injury. Open reduction and stabilization was performed by application of the rods and pedicle screws. The neurologic condition remained intact postoperatively. A CTLSO brace was administrated to wear whenever he was walking or sitting. The brace was weaned off at the 24th week when he started physical exercises. Conclusions: In a small number of patients who suffered spinal fracture-dislocation, the radiographic feature or severity does not correlate with the clinical manifestation. The treatment strategy is tailored individually, i.e., open reduction and internal fixation is advised whenever surgical intervention is indicated.
Keywords: Dislocation, Fracture, Thoracic vertebrae, Neurological deficit
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Type of Study: case report | Subject: General
References
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Nabizadeh N, Gomrokchi A Y, Lirgeshasi S B, Bahari , M. Fracture-Dislocation of the Thoracic Spine without Any Neurological Deficit: A Case Report and Review of the Literature. Int J Med Invest. 2018; 7 (3) :64-72
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Volume 7, Issue 3 (9-2018) Back to browse issues page
International Journal of Medical Investigation
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