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

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author LINS, Catarina C.
PRADO, Diego T. do FMUSP-HC
JOAQUIM, Andrei F.
FERNANDES, Yvens B.
KIMAID, Paulo A. T.
dc.date.issued 2016
dc.identifier.citation BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, v.35, n.3, p.244-247, 2016
dc.identifier.issn 0103-5355
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/19031
dc.description.abstract 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.
dc.language.iso eng
dc.publisher GEORG THIEME VERLAG KG
dc.relation.ispartof Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia
dc.rights openAccess
dc.subject spinal fractures; dislocations; thoracic vertebrae; surgical procedures
dc.subject.other thoracolumbar injury classification; consecutively treated patients; posterior ligamentous complex; spinal-cord injury; system; validity; trauma; score
dc.title Severe Lateral Thoracic Fracture-Dislocation without Neurological Deficit - Case Report
dc.type article
dc.rights.holder Copyright GEORG THIEME VERLAG KG
dc.identifier.doi 10.1055/s-0036-1592104
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author PRADO, Diego T. do:HC:ICHC
hcfmusp.author.external · LINS, Catarina C.:Hosp Municipal Dr Mario Gatti, Div Neurosurg, Campinas, SP, Brazil
· JOAQUIM, Andrei F.:Hosp Municipal Dr Mario Gatti, Div Neurosurg, Campinas, SP, Brazil; Univ Estadual Campinas Unicamp, Dept Neurol, Sao Paulo, Brazil
· FERNANDES, Yvens B.:Hosp Municipal Dr Mario Gatti, Div Neurosurg, Campinas, SP, Brazil; Univ Estadual Campinas Unicamp, Dept Neurol, Sao Paulo, Brazil
· KIMAID, Paulo A. T.:Univ Estadual Campinas Unicamp, Dept Clin Neurol, Div Neurophysiol, Campinas, SP, Brazil
hcfmusp.origem.id WOS:000392470000012
hcfmusp.publisher.city STUTTGART
hcfmusp.publisher.country GERMANY
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dc.description.index WoS
dc.identifier.eissn 2359-5922
hcfmusp.citation.wos 0
hcfmusp.affiliation.country Brasil


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