Motor Vehicle Accident, Loss Of Consciousness, and Back Pain

BACKGROUND Chance fractures are unstable due to horizontal extension of the injury, disrupting all three columns of the vertebra. Since being first described in 1948, Chance fractures have been commonly found at a single level near the thoracolumbar junction. Noncontiguous double-level Chance fractures that result from a single traumatic event are rarely reported in the literature. OBSERVATIONS The authors report a case of an 18-year-old male who presented to the emergency department after a rollover motor vehicle accident. The patient complained of severe back pain when at rest and had no neurological deficits. Computed tomography revealed two unstable Chance fractures of bony subtype located at T6 and T11. The patient underwent percutaneous stabilization from T4 to T12. The postoperative assessment revealed continued 5/5 power bilaterally in all extremities, back pain, and the ability to ambulate with a walker. At 3 months after the operation, clinical assessment revealed no significant back pain and the ability to walk independently. Imaging confirmed stable fixation of the spine with no acute osseous or hardware complications. LESSONS This report complements previous studies demonstrating support for more extensive stabilization for such unique fractures. Additionally, rapid radiological imaging is needed to identify the full injury and lead patients to appropriate treatment.

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Motor vehicle accident with complete loss of consciousness due to neurocardiogenic syncope

EP Europace ◽

10.1016/s1099-5129(01)80168-9 ◽

2001 ◽

Vol 2 ◽

pp. A33-A33

Keyword(s):

Motor Vehicle ◽

Motor Vehicle Accident ◽

Complete Loss ◽

Loss Of Consciousness ◽

Neurocardiogenic Syncope ◽

Vehicle Accident

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Motor vehicle accident with complete loss of consciousness due to neurocardiogenic syncope

EP Europace ◽

10.1016/eupace/2.supplement_1.a33-b ◽

2001 ◽

Vol 2 (Supplement_1) ◽

pp. A33-A33

Author(s):

E. Varga ◽

F. Wórum ◽

Z. Szabó ◽

I. Lorincz

Keyword(s):

Motor Vehicle ◽

Motor Vehicle Accident ◽

Complete Loss ◽

Loss Of Consciousness ◽

Neurocardiogenic Syncope ◽

Vehicle Accident

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Assessing Self-Rated Memory Impairment in Persons with Posttraumatic Headache

Assessment ◽

10.1177/107319119600300404 ◽

1996 ◽

Vol 3 (4) ◽

pp. 393-402

Author(s):

Jeffrey D. Gfeller ◽

Daniel L. Gripshover ◽

John T. Chibnall

Keyword(s):

Memory Impairment ◽

Rating Scale ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

The Self ◽

Loss Of Consciousness ◽

Memory Testing ◽

Posttraumatic Headache ◽

Vehicle Accident ◽

Objective Performance

Forty-two patients with persistent posttraumatic headache and postconcussion symptomatology following a motor vehicle accident completed the Self-Rating Scale of Memory Functions (SRSM), the Beck Depression Inventory (BDI), and brief memory testing. SRSM scores indicated that patients rated their memory as significantly impaired relative to their preinjury status. SRSM scores were not affected by such factors as age, education, gender, and loss of consciousness. However, significantly depressed patients rated their memory as more impaired on 14 of 18 SRSM items when compared with nondepressed patients. After controlling for depression, SRSM scores correlated significantly with objective performance on several memory tests. The implications of these findings are discussed.

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Successful Treatment of Low Back Pain and Neck Pain After a Motor Vehicle Accident Despite Litigation

Spine ◽

10.1097/00007632-199405000-00001 ◽

1994 ◽

Vol 19 (9) ◽

pp. 1007-1010 ◽

Cited By ~ 20

Author(s):

Jerome Schofferman ◽

Shelley Wasseman

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Neck Pain ◽

Successful Treatment ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Low Back ◽

Vehicle Accident

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MINIMALLY INVASIVE RESECTION OF INTRAMEDULLARY EPENDYMOMA

Neurosurgery ◽

10.1227/01.neu.0000360153.65238.f0 ◽

2009 ◽

Vol 65 (6) ◽

pp. E1203-E1204 ◽

Cited By ~ 17

Author(s):

Alfred T. Ogden ◽

Richard G. Fessler

Keyword(s):

Back Pain ◽

High Risk ◽

Minimally Invasive ◽

Clinical Presentation ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Vehicle Accident ◽

History Of

Abstract OBJECTIVE This report illustrates the adequacy of minimally invasive exposure for the resection of an intramedullary ependymoma. CLINICAL PRESENTATION The patient presented with a history of upper back pain, but a lesion was found during a workup for increased back pain after a motor vehicle accident. INTERVENTION The intramedullary ependymoma was approached using a muscle-splitting retractor and extended hemilaminar exposure. The tumor was removed using conventional techniques. CONCLUSION This minimally invasive exposure is adequate for selected intramedullary lesions and may be especially useful in patients with a high risk of postlaminectomy deformity.

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