Unstable Fracture-dislocations of the Thoracolumbar Spine

We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the palmar plate to the base of the middle phalanx. Three years after surgery, (range 25–52 months) the average total active range of motion of the proximal interphalangeal joint was 100° (range 65–115°) for the acute group (operation within 14 days of injury, n = 7) and 86° (range 60–110°) for the chronic group (operation on average 46 days after injury, range 21–120 days, n = 7). Longer delay from injury was associated with a decreased total range of motion ( P = 0.028). Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

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Fracture-dislocations of the Thoracolumbar Spine With Spinal Cord Injury

Postgraduate Medicine ◽

10.1080/00325481.1956.11691246 ◽

1956 ◽

Vol 20 (2) ◽

pp. 177-179 ◽

Cited By ~ 2

Author(s):

E. Harry Botterell

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Thoracolumbar Spine ◽

Cord Injury ◽

Fracture Dislocations

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Posterior Decompression with Fusion & Fixation by Pedicle Screw and Rod of Thoraco Lumbar Spine: A Study of 15 Cases

Bangladesh Journal of Neuroscience ◽

10.3329/bjn.v28i2.17181 ◽

2013 ◽

Vol 28 (2) ◽

pp. 102-107

Author(s):

Haradhan Deb Nath ◽

Kanak Kanti Barua ◽

Zillur Rahman ◽

Md Rezaul Amin ◽

Malay Kumar Das ◽

...

Keyword(s):

Lumbar Spine ◽

Spinal Injury ◽

Treatment Plan ◽

Thoracolumbar Spine ◽

Spine Fracture ◽

Unstable Fracture ◽

Limb Weakness ◽

Early Management ◽

Number Of Patients ◽

Fall From Height

Background & Objectives: Thoraco-lumbar fracture is one of the common problems in spinal injury patients. Its early management can prevent complication after injury and can improve neurological function. The treatment plan of unstable fracture is controversial. Methods: The study was carried out at the department of neurosurgery, Bangabandhu Sheikh Mujib Medical University from June 2010 to July 2011 among the patients admitted with thoraco-lumbar spine fracture. Results: A total number of 15 patients with thoracolumbar spine fracture were included in the study. Among the 15 patients, 13(86.66%) were male. The highest number of patients were in age group of 1-20(40%) and 21-40(40%) years. The commonest cause of Thoraco-lumbar spine injuries were fall from height which was 8(53.33%) in number. The commonest site of injury was L1 fracture in 4(60%) patients. It was documented that bladder dysfunction and lower limb weakness were the commonest sign. It was evident that, 10(66.70%) and 4(26.66%) of the patients were partially and completely improved after surgery respectively and 3(10%) of patients had wound infection. Conclusion: Thoraco-lumbar spine fracture with incomplete injury, early surgery can improve many of the patients life. DOI: http://dx.doi.org/10.3329/bjn.v28i2.17181 Bangladesh Journal of Neuroscience 2012; Vol. 28 (2): 102-107

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Burst fracture Th 9-10 treat with Transthoracal Corpectomy and stabilization: A Cases Report

Asian Australasian Neuro and Health Science Journal (AANHS-J) ◽

10.32734/aanhs-j.v1i2.1032 ◽

2019 ◽

Vol 1 (2) ◽

Author(s):

Halim Rahman Manurung ◽

Sabri Ibrahim ◽

Ridha Dharmajaya

Keyword(s):

Cervical Spine ◽

Thoracic Spine ◽

Burst Fracture ◽

Thoracolumbar Spine ◽

Spinal Fractures ◽

High Energy ◽

Spinal Fracture ◽

Thoracolumbar Junction ◽

Unstable Fracture ◽

Burst Fractures

Abstract. Spinal fracture and dislocation are among the most feared injuries by patients and physicians alike, as the consequences can be devastating, ranging from mild pain and discomfort to severe paralysis and even death. Spinal trauma is commonly found in patients admitted to level-one trauma centers after serious accidents like traffic, falling, and sports accidents.Injuries of the cervical spine account for one third of spinal fractures and half to two thirds of all spinal cord injuries.In the thoracolumbar spine, the most common unstable fracture is the burst fracture. Altogether, burst fractures have been reported to account for about 15% of spinal injuries.Incidence of burst fractures peaked at the thoracolumbar junction and between levels T5 and T8. In 10% of cases,more than one burst fracture was seen, thereof 53% on noncontiguous levels. Main accident mechanisms were falls, traffic, and sports. Neurological deficit was highest in patients with burst fractures of the cervical spine, independent of accident mechanism, and lowest in thoracolumbar junction fractures. Burst fractures occur frequently in high energy traumas and are most commonly associated with falling and traffic accidents.Multiple burst fractures occur in 10% of cases, half thereof on noncontiguous levels.Access to the anterior thoracic spine via the transthoracic approach (via thoracotomy) can be used for decompression and fusion. To perform adequate decompression and stabilization of the thoracic spine, obtaining good exposure is a must. Preservation and protection of the vascular structures in the thoracic cavity is the key to such an exposure. Preoperative workup should include imaging modalities (plain rontgens, MRI/CT scan) to specifically define the area of decompression. If a tumor is being evaluated, CT angiography and embolization are helpful in preoperative planning. Assistance by a thoracic surgeon for exposure is highly recommended.

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