777 results match your criteria: "Thoracic Spine Fractures and Dislocations"
Medicine (Baltimore)
November 2024
Department of Orthopaedics and Rehabilitation, Larner College of Medicine, University of Vermont, Burlington, VT.
Thoracolumbar burst fracture treatment in neurologically intact patients is controversial with many classification systems to help guide management. Thoracolumbar Injury Classification and Severity score (TLICS) provides a framework, but evidence is limited, and recommendations are primarily based on expert opinion. In this retrospective cohort study, data was reviewed for patients with thoracolumbar burst fractures at a Level-1 Trauma Center in New England from 2013 to 2018.
View Article and Find Full Text PDFUlus Travma Acil Cerrahi Derg
November 2024
Department of Radiology, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul-Türkiye.
Background: Degeneration of the spine may affect pelvic parameters and hip mobility. This study aimed to evaluate the effects of degenerative scoliosis and spinopelvic parameters on hip hemiarthroplasty dislocations.
Methods: A retrospective analysis was conducted on patients who underwent hemiarthroplasty for intracapsular hip fracture over a twenty-year period.
J Spine Surg
September 2024
Spine Surgery Department, King Saud Medical City, Riyadh, Saudi Arabia.
Background: Thoracolumbar fractures are classified into four categories according to the mechanism of injury and fracture morphology into compression fracture, burst fracture, flexion-distraction injury, and fracture dislocation. Unfortunately, the management of spinal fracture has lacked standardization given the many unanswered yet relevant questions regarding the outcome. However, management is generally divided into surgical and nonsurgical treatment such as orthosis.
View Article and Find Full Text PDFWorld Neurosurg
October 2024
Department of Neurosurgery, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.
Complete traumatic dorsal spondyloptosis with no neurological involvement is so rare due to the inherent stability of the thoracic spine, that only 2 other cases are reported in literature. A 31-year male with history of fall, and normal neurological examination was noted to have grade 5 dislocation at D7-D8, with locking of D7-8 bodies and expanded canal due to pedicle fractures accommodating the displaced spinal cord. As the excessive manipulation to achieve reduction was deemed too risky to be worthy, it was decided to do in-situ fixation without reduction.
View Article and Find Full Text PDFJ Orthop Case Rep
August 2024
Department of Orthopaedics, B.Y.L Nair Charitable Hospital, Mumbai, Maharashtra, India.
Introduction: Fractures in the upper thoracic spine pose technical challenges due to the transition from cervical to thoracic spine, often resulting in complete spinal cord injuries necessitating stabilization. Various posterior fixation techniques include Harrington rods, wired distraction rods, L-rods with sub-laminar wiring, and pedicle screw fixation. Luque pioneered sublaminar wiring (SLW), later enhanced by Dove's Hartshill system for superior biomechanical stability.
View Article and Find Full Text PDFCureus
June 2024
Neurosurgery, University of Louisville, Louisville, USA.
Eur Spine J
December 2024
Department of Research and Innovation, Institut Guttmann - Hospital de Neurorehabilitació, Institut Universitari de Neurorehabilitació adscrit a la UAB, Cami Can Ruti s/n, 08916, Badalona, Barcelona, Spain.
Orthop Surg
July 2024
Department of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
Objective: Thoracolumbar fractures are one of the most common fractures in clinical practice. Surgical intervention is recommended to restore spinal alignment or decompress the nerves when there are unstable fractures or neurological injuries. However, after excessive forward thrust force restoration, facet joint dislocation often occurs between the upper vertebra and the fractured vertebra, which usually leads to unsatisfactory reduction outcomes.
View Article and Find Full Text PDFZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
April 2024
Department of Orthopaedics, General Hospital of Central Theater Command of Chinese PLA, Wuhan Hubei, 430070, P. R. China.
Spine Surg Relat Res
March 2024
Department of Orthopedic Surgery, Japanese Red Cross Musashino Hospital, Tokyo, Japan.
Global Spine J
March 2024
Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.
Fukushima J Med Sci
April 2024
Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine.
Diffuse idiopathic skeletal hyperostosis (DISH) frequently occurs in the spine, resulting in unstable fractures. Treating thoracolumbar fractures in patients with DISH is often difficult because the anterior opening of the vertebral body is exacerbated by dislocation in the prone position, making reduction difficult. In this study, we introduced a novel skull clamp-assisted positioning (SAP) technique.
View Article and Find Full Text PDFInt J Surg Case Rep
March 2024
Department of Orthopaedic and Traumatology, Kilimanjaro Christian Medical Centre, Moshi Tanzania, P.O. Box 3010, Moshi, Tanzania; Kilimanjaro Christian Medical University College, Moshi Tanzania, P.O. Box 2240, Moshi, Tanzania.
Introduction: The thoracic spine is stable because of kyphotic alignment, rib cage, and costovertebral joints. Any compression or kyphosis in the thoracic spine always causes spinal cord injury.
Clinical Case: A 47-year-old male with complaints of back pain 1 day prior to admission, after he sustained a motorbike crush and landed on his back.
World Neurosurg
April 2024
Departments of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
A 74-year-old woman with ankylosing spondylitis presented with back pain and complete paraplegia after a fall. A radiologic finding of a bamboo spine, a characteristic feature of ankylosing spondylitis, was observed on computed tomography, along with a fracture-dislocation involving T10 and T11 (chalk-stick fracture) and compression of the descending thoracic aorta due to the caudal bony column. The patient underwent an open reduction and T8-L3 posterior fusion in the operating room.
View Article and Find Full Text PDFInt Med Case Rep J
January 2024
Department of Neurosurgery, Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar.
Introduction: Upper thoracic spine fractures are rare as compared to other spine segments due to anatomical landmarks. If they occur, they are usually associated with paraplegia or any other neurological dysfunction. We report upper thoracic fracture without neurological dysfunction which is a rare entity along with its radiological imaging, and management plan.
View Article and Find Full Text PDFKhirurgiia (Mosk)
November 2023
Sechenov First Moscow State Medical University, Moscow, Russia.
Modern approaches to intensive care and anesthesiology make it possible to save patients with various severe traumas. Prolonged mechanical ventilation allows stabilizing the patient's status, but can result severe complications including tracheoesophageal fistula. Our patient received severe combined injury after road accident, i.
View Article and Find Full Text PDFFront Neurol
September 2023
Department of Neurosurgery and Neurotraumatology, "Attikon" University General Hospital, National and Kapodistrian University of Athens, Athens Medical School, Athens, Greece.
Background: Spinal cord injury (SCI) can be caused by a variety of factors and its severity can range from a mild concussion to a complete severing of the spinal cord. Τreatment depends on the type and severity of injury, the patient's age and overall health. Reduction of dislocated or fractured vertebrae via closed manipulation or surgical procedures, fixation and removal of bony fragments and debris that compromise the spinal canal are indicated for decompression of the spinal cord and stabilization of the spine.
View Article and Find Full Text PDFSpine Surg Relat Res
July 2023
Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
N Am Spine Soc J
September 2023
Department of Orthopedic Surgery, Center for Specialized Medicine, St. Louis University Hospital, 1225 S Grand Blvd, St. Louis, MO 63104, United States.
Background: Transverse process fractures (TPF) of the thoracic and lumbar spine have become increasingly identified due to CT imaging. Spine service consultation is common for further evaluation and management. There are several studies that demonstrate no difference in clinical outcome with or without spine service intervention.
View Article and Find Full Text PDFSkeletal Radiol
January 2024
Department of Diagnostic Radiology, McGill University Health Center, 1001 Decarie Blvd, Quebec, H4A 3J1, Montreal, Canada.
While rib fractures are common in blunt thoracic trauma, dislocations of the costovertebral joints (CVJs) are extremely rare and typically involve the first, eleventh, or twelfth rib. We report a rare case of dislocation of the left fourth and sixth CVJs in a 36-year-old man who was run over by a car. The rib heads were displaced anteriorly, abutting the aorta.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
July 2023
Background: Traumatic bilateral lumbosacral facet dislocations without fractures are extremely rare. Only 7 cases have been documented since the first description by Watson-Jones in 1974. Although various treatment strategies have been reported, no consensus has been reached regarding the best surgical approach.
View Article and Find Full Text PDFFront Surg
May 2023
Department of Neurosurgery, University of Tuebingen, Tuebingen, Germany.
Background: Acute myocardial infarction (MI) frequently leads to consciousness disturbance following hemodynamic collapse. Therefore, MI can occur together with upper cervical spine trauma. Herein, we report the successful treatment of complex C1/C2 fractures in a patient with concomitant three-vessel coronary artery disease (CAD).
View Article and Find Full Text PDFFront Surg
May 2023
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Background: This study aimed to investigate the safety and efficacy of the halo-vest in the treatment of cervical fracture in patients with ankylosing spondylitis (AS) and kyphosis.
Methods: From May 2017 to May 2021, 36 patients with cervical fractures with AS and thoracic kyphosis were included in this study. The patients with cervical spine fractures with AS underwent preoperative reduction by halo-vest or skull tractions.