Severe Lateral Thoracic Fracture-Dislocation without Neurological Deficit - Case Report

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Tipo de produção
article
Data de publicação
2016
Editora
GEORG THIEME VERLAG KG
DOI
Indexadores
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Autores
LINS, Catarina C.
JOAQUIM, Andrei F.
FERNANDES, Yvens B.
KIMAID, Paulo A. T.
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, v.35, n.3, p.244-247, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction A case report of a thoracic fracture-dislocation (T11-T12) without neurological deficit is presented. Objective Report the diagnosis and treatment of a traumatic severe fracture with lateral dislocation at the thoracolumbar junction without neurological deficit. Background Fracture-dislocation of the thoracic spine without neurological deficit is a rare lesion. We retrieved only 15 cases reported in the literature. Surgical treatment with spinal decompression, fusion and realignment is the treatment of choice. Case A 40-year-old man suffered a bicycle accident and was admitted with severe back pain but neurologically intact. He was treated with a wide laminectomy and spinal cord decompression followed by correction of his deformity using pedicle screw instrumentation and rod maneuvers. Results After three days, the patient was able to walk, and after one month he had just mild back pain, but was neurologically intact, and was able to return to his usual daily activities. After six months, he was neurologically intact and performing routine physical activities. Conclusions Fracture-dislocation of the thoracic spine without neurological deficit is a rare injury. A good outcome can be obtained with modern spinal stabilization surgical techniques, avoiding late neurological deterioration.
Palavras-chave
spinal fractures, dislocations, thoracic vertebrae, surgical procedures
URI
https://observatorio.fm.usp.br/handle/OPI/19031
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC