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Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion

BACKGROUND: There are multiple surgical treatment options for traumatic thoracic spine spondyloptosis, a three-column spinal injury typically attributed to high-energy trauma. CASE DESCRIPTION: A 20-year-old male presented with back deformity attributed to a fall. On neurological examination, he had...

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Autores principales: Fattahi, Arash, Daneshi, Abdoulhadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094493/
https://www.ncbi.nlm.nih.gov/pubmed/30159202
http://dx.doi.org/10.4103/sni.sni_204_18
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author Fattahi, Arash
Daneshi, Abdoulhadi
author_facet Fattahi, Arash
Daneshi, Abdoulhadi
author_sort Fattahi, Arash
collection PubMed
description BACKGROUND: There are multiple surgical treatment options for traumatic thoracic spine spondyloptosis, a three-column spinal injury typically attributed to high-energy trauma. CASE DESCRIPTION: A 20-year-old male presented with back deformity attributed to a fall. On neurological examination, he had complete spinal cord injury below the T6 level. Magnetic resonance and computed tomography imaging documented a T8 vertebral fracture and complete T7/T8 spondyloptosis. Six days following admission, he underwent a single posterior procedure consisting of a T8 spondylectomy and instrumented fusion from T5 to T11. The patient was mobilized in a wheelchair on the 3(rd) postoperative day and was discharged on the 11(th) day following admission. Three months later, the surgical construct was fused and the patient's neurological status remained unchanged. CONCLUSION: Here we present a patient who following a fall sustained a T7/T8 spondyloptosis resulting in paraplegia treated with a single posterior T8 spondylectomy with T5–T11 instrumented fusion.
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spelling pubmed-60944932018-08-29 Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion Fattahi, Arash Daneshi, Abdoulhadi Surg Neurol Int Spine: Case Report BACKGROUND: There are multiple surgical treatment options for traumatic thoracic spine spondyloptosis, a three-column spinal injury typically attributed to high-energy trauma. CASE DESCRIPTION: A 20-year-old male presented with back deformity attributed to a fall. On neurological examination, he had complete spinal cord injury below the T6 level. Magnetic resonance and computed tomography imaging documented a T8 vertebral fracture and complete T7/T8 spondyloptosis. Six days following admission, he underwent a single posterior procedure consisting of a T8 spondylectomy and instrumented fusion from T5 to T11. The patient was mobilized in a wheelchair on the 3(rd) postoperative day and was discharged on the 11(th) day following admission. Three months later, the surgical construct was fused and the patient's neurological status remained unchanged. CONCLUSION: Here we present a patient who following a fall sustained a T7/T8 spondyloptosis resulting in paraplegia treated with a single posterior T8 spondylectomy with T5–T11 instrumented fusion. Medknow Publications & Media Pvt Ltd 2018-08-10 /pmc/articles/PMC6094493/ /pubmed/30159202 http://dx.doi.org/10.4103/sni.sni_204_18 Text en Copyright: © 2018 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Spine: Case Report
Fattahi, Arash
Daneshi, Abdoulhadi
Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
title Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
title_full Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
title_fullStr Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
title_full_unstemmed Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
title_short Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
title_sort traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion
topic Spine: Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094493/
https://www.ncbi.nlm.nih.gov/pubmed/30159202
http://dx.doi.org/10.4103/sni.sni_204_18
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