A case of dual three-column thoracic spinal fractures following traumatic injury

Taylor Waitt; Vamsi Reddy; Dayton Grogan; Pearce Lane; Joseph Kilianski; John DeVine; Alexander Post

doi:10.25259/SNI_189_2020

A case of dual three-column thoracic spinal fractures following traumatic injury

Taylor Waitt, Vamsi Reddy, Dayton Grogan, Pearce Lane, Joseph Kilianski, John DeVine, Alexander Post

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double-level, noncontiguous lesions. Case Description: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3-T5 and T11-12 fractures, warranting T3-L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient's neurological status remained unchanged. Conclusion: This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.

Original language	English (US)
Article number	A51
Journal	Surgical Neurology International
Volume	11
DOIs	https://doi.org/10.25259/SNI_189_2020
State	Published - 2020
Externally published	Yes

Keywords

Noncontiguous spinal injury
Spondyloptosis
Thoracic spinal injury
Trauma

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.25259/SNI_189_2020

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title = "A case of dual three-column thoracic spinal fractures following traumatic injury",

abstract = "Background: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double-level, noncontiguous lesions. Case Description: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3-T5 and T11-12 fractures, warranting T3-L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient's neurological status remained unchanged. Conclusion: This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.",

keywords = "Noncontiguous spinal injury, Spondyloptosis, Thoracic spinal injury, Trauma",

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T1 - A case of dual three-column thoracic spinal fractures following traumatic injury

AU - Waitt, Taylor

AU - Reddy, Vamsi

AU - Grogan, Dayton

AU - Lane, Pearce

AU - Kilianski, Joseph

AU - DeVine, John

AU - Post, Alexander

PY - 2020

Y1 - 2020

N2 - Background: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double-level, noncontiguous lesions. Case Description: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3-T5 and T11-12 fractures, warranting T3-L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient's neurological status remained unchanged. Conclusion: This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.

AB - Background: Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double-level, noncontiguous lesions. Case Description: A 19-year-old male following an MVA was paraplegic; he exhibited full motor/sensory loss below the T4 level (i.e., ASIA scale Grade A). The chest X-ray, magnetic resonance, and computed tomography studies confirmed T3-T5 and T11-12 fractures, warranting T3-L3 thoracolumbar decompression and fusion. Despite surgical intervention, the patient's neurological status remained unchanged. Conclusion: This case illustrates the rare presentation of noncontiguous, posttraumatic thoracic spinal lesions requiring simultaneous decompression/fixation.

KW - Noncontiguous spinal injury

KW - Spondyloptosis

KW - Thoracic spinal injury

KW - Trauma

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A case of dual three-column thoracic spinal fractures following traumatic injury

Abstract

Keywords

ASJC Scopus subject areas

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