Fracture-dislocations of the Thoracolumbar Spine With Spinal Cord Injury

1956 ◽  
Vol 20 (2) ◽  
pp. 177-179 ◽  
Author(s):  
E. Harry Botterell
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Thoracolumbar Spine ◽  
Cord Injury ◽  
Fracture Dislocations

scholarly journals THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS

2017 ◽  
Vol 16 (1) ◽  
pp. 52-55
Author(s):  
TOBIAS LUDWIG DO NASCIMENTO ◽  
LUIZ PEDRO WILLIMANN ROGÉRIO ◽  
MARCELO MARTINS DOS REIS ◽  
LEANDRO PELEGRINI DE ALMEIDA ◽  
GUILHERME FINGER ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurological Deficit ◽  
Traffic Accidents ◽  
Thoracolumbar Spine ◽  
Hospital Costs ◽  
Spine Fracture ◽  
Female Ratio ◽  
Cord Injury ◽  
Fall From Height

ABSTRACT Objective: To describe the epidemiology of patients with thoracolumbar spine fracture submitted to surgery at Hospital Cristo Redentor and the related costs. Methods: Prospective epidemiological study between July 2014 and August 2015 of patients with thoracolumbar spine fracture with indication of surgery. The variables analyzed were sex, age, cost of hospitalization, fractured levels, levels of arthrodesis, surgical site infection, UTI or BCP, spinal cord injury, etiology, length of stay, procedure time, and visual analog scale (VAS) . Results: Thirty-two patients were evaluated in the study period, with a mean age of 38.68 years. Male-female ratio was 4:1 and the most frequent causes were fall from height (46.87%) and traffic accidents (46.87%). The thoracolumbar transition was the most affected (40.62%), with L1 vertebra involved in 23.8% of the time. Neurological deficit was present in 40.62% of patients. Hospital stay had a median of 14 days and patients with neurological deficit were hospitalized for a longer period (p<0.001), with an increase in hospital costs (p= 0.015). The average cost of hospitalization was U$2,874.80. The presence of BCP increased the cost of hospitalization, and patients with spinal cord injury had more BCP (p= 0.014) . Conclusion: Public policies with an emphasis on reducing traffic accidents and falls can help reduce the incidence of these injuries and studies focusing on hospital costs and rehabilitation need to be conducted in Brazil to determinate the burden of spinal trauma and spinal cord injury.

scholarly journals Fracture-dislocations of the Cervical Spine without Severe Spinal Cord Injury

1978 ◽  
Vol 27 (4) ◽  
pp. 588-590
Author(s):  
T. Takamatsu ◽  
Y. Kaieda ◽  
K. Nagata ◽  
K. Miyagi ◽  
K. Iwaoka ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Cord Injury ◽  
Fracture Dislocations

Central Cord Injury

2018 ◽  
pp. 31-40
Author(s):  
Bizhan Aarabi ◽  
Charles A. Sansur ◽  
David M. Ibrahimi ◽  
Mathew Kole ◽  
Harry Mushlin
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Older Patients ◽  
Surgical Decompression ◽  
Sensory Loss ◽  
Sphincter Function ◽  
Cord Injury ◽  
Central Cord Syndrome ◽  
Fracture Dislocations ◽  
Spinal Cord Decompression

Acute traumatic central cord syndrome (ATCCS) is an incomplete spinal cord injury, originally described by Schneider in the early 1950s. The syndrome presents with disproportionate weakness of the upper extremities distally compared to the lower extremities, variable sensory loss, and decline in sphincter function. Although not unusual in fracture dislocations, ATCCS is typically observed in older patients with a background of degenerative spinal stenosis and suffering from a hyperextension injury of the cervical spine without instability. Many such patients to some extent recover clinically, and functional recovery might be helped with early spinal cord decompression. The timing of surgical decompression remains controversial.

scholarly journals TREATMENT OF THORACIC AND LUMBAR SPINE AND SPINAL CORD INJURY IN CHILDREN

2006 ◽  
pp. 013-019
Author(s):  
Eduard Vladimirovich Ulrikh ◽  
Sergey Valentinivich Vissarionov ◽  
Aleksandr Yuryevich Mushkin
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Treatment ◽  
Neurological Deficit ◽  
Neurological Disorders ◽  
Seat Belt ◽  
Fracture Dislocation ◽  
Burst Fractures ◽  
Cord Injury ◽  
Fracture Dislocations

Objective. To assess results of surgical treatment and to develop an optimal management regiment of patients with spine and spinal cord injury. Material and methods. Twenty patients, age 9 to 17 years, with complicated unstable spinal injuries were operated on. Out of them 13patients had severe Frankel grades A, B, C neurological disorders, 7 patients – grades D and Er. Seventeen patients had burst fractures, one – seat-belt injury, and two – fracture-dislocations. Surgery was performed in the first hours following the trauma in 9 patients, within two weeks – in 9, and after 15 days – in two. Burst fractures with grades A, B, C were treated by simultaneous posterior reposition and fixation of the injured segment, and anterior decompression and fusion. Grade D and Er was treated initially by indirect posterior reduction and fixation of the involved segment. If neurological disorders still remained decompression and body fusion were performed. Posterior-lateral decompression and instrumental fixation were performed in cases of seat-belt injuries. Fracture-dislocation was treated by decompression laminoplasty, spinal canal revision, followed by posterior reposition and fixation. Results. Two patients with burst fractures and grade A neurological disorders have shown a regression to the grade D. Dynamics of neurological restoration to grades B and C was observed in 4patients. The patient with grade B has not shown any regression. A positive dynamics with motor function improvement was observed in 4 patients with grade C. Seven patients (6 with burst fractures, 1 with seat-belt trauma) with grade D and Er were operated on within first hours and day after the trauma. First stage of surgical treatment provided elimination of neurological deficit in 5 cases. Two patients with grade D required the second stage. Regression of neurological deficit was not achieved in patients with fracture-dislocations. Conclusion. Surgical treatment of patients with complicated spine and spinal cord injury should be performed within first 6–8 hours after the trauma.

Assessment and immediate management of spinal cord injury

2016 ◽  
Author(s):  
Simon Finfer ◽  
Oliver Flower
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Motor Vehicle ◽  
Spinal Injury ◽  
Thoracolumbar Spine ◽  
X Rays ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Thoracolumbar Spine Fractures ◽  
Cervical Injuries

Spinal cord injury is a potentially devastating injury, which may occur in isolation, but more commonly occurs in the setting of multiple injuries. Motor vehicle accidents and falls are the most common causes. Depending on the level of the injury and its completeness, patients may be left with paraplegia or tetraplegia. The injury may be immediately obvious based on history and clinical examination, but may have to be actively excluded in multiply-injured patients. Thoracolumbar spine fractures are almost always evident on plain X-rays, whereas computed tomography (CT) or magnetic resonance imaging (MRI) is frequently required to exclude cervical spine injuries. Immediate management should be directed at the detection and treatment of life-threatening injuries. Patients should be transferred to a facility specializing in the management of spinal cord injury as soon as feasible. Acute management of the spinal injury itself is largely supportive and aimed at avoiding preventable secondary injury. Respiratory complications are common, and high thoracic or cervical injuries may lead to neurogenic shock. Early identification of the injury and appropriate management results in improved outcome, reducing disability and costs of long-term management.

Thoracic fracture-dislocations without spinal cord injury: a case report and literature review

1995 ◽  
Vol 4 (4) ◽  
pp. 252-256 ◽  
Author(s):  
U. Liljenqvist ◽  
H. Halm ◽  
W. H. M. Castro ◽  
U. Mommsen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Literature Review ◽  
Cord Injury ◽  
Fracture Dislocations
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