International Journal of Medical Investigation
Int J Med Invest
Medical Sciences
http://intjmi.com
1
admin
2322-2913
2345-640x
no
no
14
8888
13
en
jalali
1397
6
1
gregorian
2018
9
1
7
3
online
1
fulltext
en
Fracture-Dislocation of the Thoracic Spine without Any Neurological Deficit: A Case Report and Review of the Literature
عمومى
General
گزارش مورد
case report
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.
Dislocation, Fracture, Thoracic vertebrae, Neurological deficit
64
72
http://intjmi.com/browse.php?a_code=A-10-1-221&slc_lang=en&sid=1
Naveed
Nabizadeh
10031947532846002019
10031947532846002019
No
Assistant professor, Department of Orthopedic Surgery ,Firouzgar Hospital , Iran University of medical sciences, Tehran, IR Iran;
Alireza Yousof
Gomrokchi
10031947532846002020
10031947532846002020
Yes
Bone and Joint Reconstruction Research Center , Shafa Orthopedic Hospital ,Iran University of Medical Sciences ,Tehran ,IR Iran
Sam Bemani
Lirgeshasi
10031947532846002021
10031947532846002021
No
Bone and Joint Reconstruction Research Center , Shafa Orthopedic Hospital ,Iran University of Medical Sciences ,Tehran ,IR Iran
, Milad
Bahari
10031947532846002022
10031947532846002022
No
Bone and Joint Reconstruction Research Center , Shafa Orthopedic Hospital ,Iran University of Medical Sciences ,Tehran ,IR Iran