Intraspinal Gas with Lumberjack Injury: A Case Report.
- Author:
Byung Joon SHIN
1
;
Tae Kyung YUN
;
Ho Seong KANG
;
Jae Chul LEE
;
Kyung Je KIM
;
Yon Il KIM
Author Information
- Publication Type:Case Report
- Keywords: Thoracolumbar; Intraspinal gas; Lumberjack
- MeSH: Chest Pain; Decompression; Diagnosis; Epidural Space; Fistula; Hemopneumothorax; Humans; Intervertebral Disc; Longitudinal Ligaments; Magnetic Resonance Imaging; Middle Aged; Paralysis; Paraplegia; Pleural Cavity; Radiography, Thoracic; Rib Fractures; Rupture; Soft Tissue Injuries; Spine; Tomography, X-Ray Computed
- From:Journal of Korean Society of Spine Surgery 2001;8(1):81-85
- CountryRepublic of Korea
- Language:Korean
- Abstract: STUDY DESIGN: A case report and review of the literature. OBJECTIVE: To discuss the intraspinal gas associated with lumberjack injury and review the literature. MATERIAL AND METHOD: A 60-year-old man developed chest pain & paraplegia by fall down from 4m height, having hypoes-thesia on T7-8 dermatome and complete motor-sensory loss below T9. RESULTS: Multiple rib fractures and hemopneumothorax were observed on chest radiograph and only mild offset was noted on plain spine lateral radiograph. CT scan reveals multiple air bubbles around epidural space at T7-8 and fracture of T7 pedicle. MRI shows rupture of both anterior and posterior longitudinal ligaments and extruded intervertebral disc of T7-8. Posterior decompression and stabilization with posterolateral fusion was performed on T5-9, but pain was persisted and paralysis was not improved after surgery. SUMMARY: The intraspinal gas of this case is supposed to be made by air migration from pleural cavity to intraspinal canal because of severe soft tissue injuries and fistula formation. Immediate and precise diagnosis with operative treatment was con-sidered to be important.
