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Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report

BACKGROUND: Hyperextension thoracic spine fractures (HTSFs) typically involve the anterior ligamentous complex of the spine. These patients often present with paraplegia and warrant early surgical reduction/fixation even though few deficits resolve. Here, we present the unusual case of a 40-year-old...

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Autores principales: Fattahi, Arash, Mohajeri, Seyed Mohammad Reza, Daneshi, Abdolhadi, Shahivand, Ardeshir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294168/
https://www.ncbi.nlm.nih.gov/pubmed/32547824
http://dx.doi.org/10.25259/SNI_226_2020
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author Fattahi, Arash
Mohajeri, Seyed Mohammad Reza
Daneshi, Abdolhadi
Shahivand, Ardeshir
author_facet Fattahi, Arash
Mohajeri, Seyed Mohammad Reza
Daneshi, Abdolhadi
Shahivand, Ardeshir
author_sort Fattahi, Arash
collection PubMed
description BACKGROUND: Hyperextension thoracic spine fractures (HTSFs) typically involve the anterior ligamentous complex of the spine. These patients often present with paraplegia and warrant early surgical reduction/fixation even though few deficits resolve. Here, we present the unusual case of a 40-year-old male whose paraparetic deficit resolved following reduction/fixation of a T7-T8 HTSF. CASE DESCRIPTION: A 40-year-old male presented with a thoracic computed tomography (CT) documented T7- T8 HTSF following a motor vehicle accident. His neurological examination revealed severe paraparesis, but without a sensory level (ASIA motor score 78). The chest CT angiogram scan revealed a hypodensity in the aorta, representing a small traumatic aortic dissection responsible for the patient’s right hemothorax; 450 ml of blood was removed on chest tube placement. He underwent urgent/emergent thoracic spine reduction and fixation at the T7-T8 level. Within 5 postoperative months, he recovered fully neurological function (ASIA motor score 100). CONCLUSION: We recommend urgent/emergent surgical reduction/stabilization for patients with thoracic HTSF to decrease offer the potential for neurological recovery and avoid secondary injury due to continued compression.
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spelling pubmed-72941682020-06-15 Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report Fattahi, Arash Mohajeri, Seyed Mohammad Reza Daneshi, Abdolhadi Shahivand, Ardeshir Surg Neurol Int Case Report BACKGROUND: Hyperextension thoracic spine fractures (HTSFs) typically involve the anterior ligamentous complex of the spine. These patients often present with paraplegia and warrant early surgical reduction/fixation even though few deficits resolve. Here, we present the unusual case of a 40-year-old male whose paraparetic deficit resolved following reduction/fixation of a T7-T8 HTSF. CASE DESCRIPTION: A 40-year-old male presented with a thoracic computed tomography (CT) documented T7- T8 HTSF following a motor vehicle accident. His neurological examination revealed severe paraparesis, but without a sensory level (ASIA motor score 78). The chest CT angiogram scan revealed a hypodensity in the aorta, representing a small traumatic aortic dissection responsible for the patient’s right hemothorax; 450 ml of blood was removed on chest tube placement. He underwent urgent/emergent thoracic spine reduction and fixation at the T7-T8 level. Within 5 postoperative months, he recovered fully neurological function (ASIA motor score 100). CONCLUSION: We recommend urgent/emergent surgical reduction/stabilization for patients with thoracic HTSF to decrease offer the potential for neurological recovery and avoid secondary injury due to continued compression. Scientific Scholar 2020-05-30 /pmc/articles/PMC7294168/ /pubmed/32547824 http://dx.doi.org/10.25259/SNI_226_2020 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Fattahi, Arash
Mohajeri, Seyed Mohammad Reza
Daneshi, Abdolhadi
Shahivand, Ardeshir
Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report
title Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report
title_full Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report
title_fullStr Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report
title_full_unstemmed Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report
title_short Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report
title_sort hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294168/
https://www.ncbi.nlm.nih.gov/pubmed/32547824
http://dx.doi.org/10.25259/SNI_226_2020
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