Traumatic total axial reversal of the thoracic vertebral body.

Eur Spine J

Hôpital Raymond Poincaré, 104 Bd Raymond Poincaré, F-92380 Garches, France.

Published: March 2000

AI Article Synopsis

  • A rare case of a patient with a severe back injury is discussed, featuring a complete 180-degree rotation of the T6 vertebral body, which had not been previously documented in medical literature.
  • The injury led to an unexpected aortic tear, complicating the injury and ultimately resulting in a fatal outcome despite surgical intervention.
  • The causes of this unusual vertebral displacement remain unclear, and it’s important to consider potential late vascular complications when treating thoracic spine fractures with similar rotational injuries.

Article Abstract

Numerous vertebral fracture patterns have been reported in the literature. We present the case of a patient who sustained severe trauma to the back that resulted in a very unusual and not previously reported rotational injury consisting in complete 180 degrees rotation of the T6 vertebral body along a vertical axis, with only limited anteroposterior and lateral displacement. An unsuspected aortic tear resulted in severe evolution with fatal outcome following surgical attempt. The aetiology of such displacement is unknown. The possibility of late vascular complications should be kept in mind while treating thoracic spine fractures with rotational displacement.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3611204PMC
http://dx.doi.org/10.1007/s005860050214DOI Listing

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