Multiple Fractures of the Cervical and Upper Thoracic Spine without Neurological Deficit: Case Report

Neurosurgery ◽  
1989 ◽  
Vol 24 (5) ◽  
pp. 768-771
Author(s):  
George R. Cybulski ◽  
James L. Stone ◽  
Paul M. Arnold ◽  
Justo Rodriguez ◽  
Sankar Banerjee
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Neurological Deficit ◽  
Cervical Vertebrae ◽  
Spinal Instability ◽  
Thoracic Vertebrae ◽  
Multiple Fractures ◽  
Upper Thoracic Spine ◽  
Upper Thoracic

ABSTRACT The case of a patient with multiple contiguous fractures of the cervical and upper thoracic spine without neurological deficit or spinal instability is presented. Injury to each of the cervical vertebrae plus the upper two thoracic vertebrae is unusual and has not been previously reported.

Multiple fractures of the cervical and upper thoracic spine without neurological deficit

Neurosurgery ◽  
1989 ◽  
Vol 24 (5) ◽  
pp. 768???71 ◽  
Author(s):  
G R Cybulski ◽  
J L Stone ◽  
P M Arnold ◽  
J Rodriguez ◽  
S Banerjee
Keyword(s):  
Thoracic Spine ◽  
Neurological Deficit ◽  
Multiple Fractures ◽  
Upper Thoracic Spine ◽  
Upper Thoracic

scholarly journals Anterior Decompression by Sternum Splitting Approach for Kyphosis of Upper Thoracic Spine Caused by Tuberculous Spondylitis: A Case Report

2004 ◽  
Vol 53 (2) ◽  
pp. 281-283
Author(s):  
Kazushi Nakamura ◽  
Kazunori Yone ◽  
Kyoji Hayashi ◽  
Toshihiko Izumi ◽  
Shunji Matsunaga ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Anterior Decompression ◽  
Tuberculous Spondylitis ◽  
Upper Thoracic Spine ◽  
Upper Thoracic

scholarly journals The Need for Multidisciplinary Management of Patients with Upper Thoracic Spine Fractures Caused by High-Velocity Impact: A Review of 32 Surgically Stabilised Cases

2005 ◽  
Vol 13 (1) ◽  
pp. 34-39 ◽  
Author(s):  
JF Quinlan ◽  
JA Harty ◽  
JM O'Byrne
Keyword(s):  
Thoracic Spine ◽  
Neurological Deficit ◽  
High Velocity ◽  
Traffic Accidents ◽  
Spinal Fractures ◽  
Concomitant Injuries ◽  
Upper Thoracic Spine ◽  
Chest Injuries ◽  
Great Force ◽  
Upper Thoracic

Purpose. To analyse the characteristics of patients who underwent surgery for fractures of the upper thoracic spine (T1–T6) in our institution. The thoracic spine is supported by the rib cage and associated ligaments; therefore, displacement and fracture of the upper thoracic spine in healthy young adults require a great force. The relatively narrow spinal canal around the spinal cord in this area could result in severe neurological deficit should fractures occur. Methods. The treatment course of 32 patients (26 men and 6 women) who underwent surgery for fractures of the upper thoracic spine between February 1995 and March 2001 was retrospectively reviewed. Parameters of injuries and treatment methods were evaluated. Results. Of the 32 patients, 29 were injured in traffic accidents (15 motorcycle and 14 vehicle), 2 in falls, and one by a heavy door falling on his back. 29 patients had spinal fractures at more than one level. 23 patients had complete, 7 had incomplete, and 2 had no neurological deficit. 30 patients required multiple modalities of radiological imaging (in addition to plain radiography) for diagnosis. 20 patients sustained other injuries apart from spinal fractures, 15 of them had associated chest injuries. Conclusion. High-velocity fractures of the upper thoracic spine are injuries with devastating consequences, and can result in severe neurological deficit and concomitant injuries. These patients are best treated by a multidisciplinary approach.

scholarly journals En bloc resection and reconstruction of a huge chondrosarcoma involving multilevel upper thoracic spine and chest wall: case report

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xiaodong Tang ◽  
Zhenyu Cai ◽  
Ruifeng Wang ◽  
Tao Ji ◽  
Wei Guo
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Thoracic Spine ◽  
Tumor Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Thoracic Cavity ◽  
En Bloc ◽  
Upper Thoracic Spine ◽  
Upper Thoracic

Abstract Background En bloc resection of malignant tumors involving upper thoracic spine is technically difficult. We surgically treated a patient with grade 2 chondrosarcoma involving T1–5, left upper thoracic cavity, and chest wall. Case presentation A 37 years old, male patient was referred to our hospital for a huge lump involved left shoulder and chest wall. In order to achieve satisfied surgical margins, anterior approach, posterior approach, and lateral approach were carried out sequentially. After en bloc tumor resection, the upper thoracic spine was reconstructed with a 3D-printed modular vertebral prosthesis, and the huge chest wall defect was repaired by a methyl methacrylate layer between 2 pieces of polypropylene mesh. Postoperatively, the patient suffered from pneumonia and neurological deterioration which fully recovered eventfully. At 24 months after operation, the vertebral prosthesis and internal fixation were intact; there was no tumor local recurrence, and the patient was alive with stable pulmonary metastases. Conclusion This case report describes resection of a huge chondrosarcoma involving not only multilevel upper thoracic spine, but also entire left upper thoracic cavity and chest wall. Although with complications, en bloc tumor resection with combined surgical approach and effective reconstructions could improve oncologic and functional prognosis in carefully selected spinal tumor patients.

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