A case of dual three-column thoracic spinal fractures following traumatic injury

BACKGROUND: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions. CASE DESCRIPTION: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The ch...

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Autores principales: Waitt, Taylor, Reddy, Vamsi, Grogan, Dayton, Lane, Pearce, Kilianski, Joseph, DeVine, John, Post, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332507/
https://www.ncbi.nlm.nih.gov/pubmed/32637203
http://dx.doi.org/10.25259/SNI_189_2020
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author Waitt, Taylor
Reddy, Vamsi
Grogan, Dayton
Lane, Pearce
Kilianski, Joseph
DeVine, John
Post, Alexander
author_facet Waitt, Taylor
Reddy, Vamsi
Grogan, Dayton
Lane, Pearce
Kilianski, Joseph
DeVine, John
Post, Alexander
author_sort Waitt, Taylor
collection PubMed
description BACKGROUND: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions. CASE DESCRIPTION: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3–T5 and T11–12 fractures, warranting T3–L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient’s neurological status remained unchanged. CONCLUSION: This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.
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spelling pubmed-73325072020-07-06 A case of dual three-column thoracic spinal fractures following traumatic injury Waitt, Taylor Reddy, Vamsi Grogan, Dayton Lane, Pearce Kilianski, Joseph DeVine, John Post, Alexander Surg Neurol Int Case Report BACKGROUND: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions. CASE DESCRIPTION: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3–T5 and T11–12 fractures, warranting T3–L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient’s neurological status remained unchanged. CONCLUSION: This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation. Scientific Scholar 2020-06-13 /pmc/articles/PMC7332507/ /pubmed/32637203 http://dx.doi.org/10.25259/SNI_189_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
Waitt, Taylor
Reddy, Vamsi
Grogan, Dayton
Lane, Pearce
Kilianski, Joseph
DeVine, John
Post, Alexander
A case of dual three-column thoracic spinal fractures following traumatic injury
title A case of dual three-column thoracic spinal fractures following traumatic injury
title_full A case of dual three-column thoracic spinal fractures following traumatic injury
title_fullStr A case of dual three-column thoracic spinal fractures following traumatic injury
title_full_unstemmed A case of dual three-column thoracic spinal fractures following traumatic injury
title_short A case of dual three-column thoracic spinal fractures following traumatic injury
title_sort case of dual three-column thoracic spinal fractures following traumatic injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332507/
https://www.ncbi.nlm.nih.gov/pubmed/32637203
http://dx.doi.org/10.25259/SNI_189_2020
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