Thoracic Fracture-Dislocations Without Spinal Cord Injury: Two Cases Reports.
10.4184/jkss.2006.13.1.69
- Author:
Dong Eun SHIN
1
;
Seung Yong RHEE
;
Hak Sun KIM
Author Information
1. Department of Orthopaedic Surgery, Bundang CHA Hospital, College of Medicine, Pochon CHA University, Korea.
- Publication Type:Case Report
- Keywords:
Thoracic fracture-dislocation;
Segmental spinal instrumentation and fusion;
Neural sparing
- MeSH:
Adult;
Follow-Up Studies;
Humans;
Incidence;
Middle Aged;
Motorcycles;
Neurologic Examination;
Paraplegia;
Spinal Cord Injuries*;
Spinal Cord*
- From:Journal of Korean Society of Spine Surgery
2006;13(1):69-74
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thoracic fracture-dislocations reportedly lead to an 80% incidence of complete paraplegia. Thus, thoracic fracture-dislocations without cord injury are uncommon. There are a few cases of thoracic fracture-dislocations in which the neural sparing status was associated with separation of the posterior spinal structures, such as the pedicles and laminae. The authors experienced two cases of thoracic fracture-dislocations without spinal cord injury: one was a 50-year-old man who fell from the fourth floor of a building and sustained a T6-7 fracture-dislocation; and the other was a 43-year-old man who was involved in motorcycle accident and sustained a T12 fracture-dislocation. Segmental spinal instrumentation and fusion without open reduction was performed in each of the two cases and there has not been any abnormality detected on neurological examination at a minimum follow-up period of 2 years.
