scholarly journals Thoracic spine teardrop fracture – A case report

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Isam S Moghamis ◽  
Waleed Asad ◽  
Tarek Taha ◽  
Marcus O Head ◽  
Abduljabbar Alhammoud
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Road Traffic ◽  
Pedicle Screw Fixation ◽  
Fracture Pattern ◽  
High Morbidity ◽  
Inferior Angle ◽  
Angle Fracture ◽  
Teardrop Fracture

This is a case report of a young man who suffered from an anterior inferior angle fracture (teardrop) of the thoracic spine at the dorsal spine third vertebra (D3). It was due to a road traffic accident and led to paraplegia and hypoesthesia below D7 dermatome. The patient was treated with decompression and posterior stabilization using pedicle screw fixation followed by physiotherapy. Teardrop fracture is a type of cervical fracture that is associated with high morbidity and mortality due to its instability, with no reported similar fracture pattern at the thoracic spine level. This is a unique case of a thoracic teardrop fracture that was treated surgically with a posterior approach, a good clinical outcome, and 18 months follow-up.

scholarly journals Brain Abscess Caused by Nocardia: Case Report and Literature Review

2020 ◽  
Author(s):  
Guilherme Finger ◽  
Maria Eduarda Conte Gripa ◽  
Tiago Paczko Bozko Cecchini ◽  
Tobias Ludwig do Nascimento
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Clinical Signs ◽  
Occipital Lobe ◽  
High Morbidity ◽  
Rare Clinical Entity ◽  
Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

scholarly journals The Feasibility of Long-Segment Fluoroscopy-guided Percutaneous Thoracic Spine Pedicle Screw Fixation, and the Outcome at Two-year Follow-up

2019 ◽  
Vol 13 (3) ◽  
pp. 39-44 ◽  
Author(s):  
Tamburrelli FC ◽  
Perna A ◽  
Proietti L ◽  
Zirio G ◽  
Santagada DA ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Thoracic Spine ◽  
Screw Fixation ◽  
Pedicle Screw Fixation

scholarly journals Chondrosarcoma of the Thoracic Spine in an 8-Year-Old Child with 12 Years Follow-up: A Case Report

2000 ◽  
Vol 8 (1) ◽  
pp. 89-92 ◽  
Author(s):  
Nick Vertzyas ◽  
John Cummine ◽  
Sandra Biankin ◽  
Michael Bilows
Keyword(s):  
Case Report ◽  
Thoracic Spine

scholarly journals Surgical management of critical femoral bone loss by bone transport over intramedullary nail by monorail system: a case report

2020 ◽  
Vol 6 (6) ◽  
pp. 1309
Author(s):  
Kuldeep Nahar ◽  
Nikita Nahar
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Intramedullary Nail ◽  
Road Traffic ◽  
Bone Transport ◽  
Significant Loss ◽  
System A ◽  
Vascular Insufficiency ◽  
Locking Nail

<p>Present case report is about a male patient who met with a road traffic accident sustained an open crush, contaminated, injury of lower end femur of right side with significant loss of lower thigh bone (8 cm). He had fracture of inter condylar femur with fracture upper end tibia and lower third tibia with impending vascular insufficiency of leg and foot. Operated after correction of anaemia by debridement, fixation of femur with plate and inter condylar screw. Upper end tibia and Lower half tibia were fixed with separate plates and fasciotomy of leg. After 2 months femoral plate was replaced with intramedullary locking nail and superadded with monorail fixator. Corticotomy at proximal femur for bone transportation. Bone gap was corrected within 4 months and bone grafting was done at distal docking site. Union achieved and fixator removed after 4 months of this. Patient showed good results till last follow up 28 months, having good range of motion of knee.so critical bone loss at femur was treated by distraction osteogenesis over intramedullary nail with monorail external fixator system.</p>

scholarly journals GREATER TROCHANTERIC FRACTURE IN STABLE INTERTROCHENTRIC FRACTURE

2021 ◽  
Vol 9 (08) ◽  
pp. 306-309
Author(s):  
Ahmed Alsarhani
Keyword(s):  
Case Report ◽  
Femur Fracture ◽  
Trochanteric Fracture ◽  
Fracture Pattern ◽  
High Morbidity ◽  
Greater Trochanter ◽  
Best Management ◽  
Femur Fractures ◽  
History Of ◽  
Hip Screw

Background : stable intertrochentric femur with displaced greater trochanter is uncommon fracture pattern . intertrochentric femur fractures are associated with high morbidity and mortality , affecting both genders ,with different complexity Case report in our case report we have 75 years old male patient with history of fall sustained intertrochentric femur fracture with displaced greater trochenter treated with fixation of both fracture element Using dynamic hip screw (DHS) with trochentric stabilizing plate (TSP) in addition to tension band fixing the greater trochenter Discussion : different pattern of intertrochentric femur fracture require thorough planing for optimum management .intertrochentric femur fracture with displaced greater trochanter need further research to identify the best management option specially regard of functionality.

Disappearing bone disease of the humerus and the cervico-thoracic spine: a case report with 42-year follow-up

2016 ◽  
Vol 16 (2) ◽  
pp. e67-e75 ◽  
Author(s):  
Anne Kathleen Ganal-Antonio ◽  
Dino Samartzis ◽  
Cora Bow ◽  
Kenneth M.C. Cheung ◽  
Keith D.K. Luk ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Bone Disease

scholarly journals The Versatile Approach: A Novel Single Incision Combined with Anterior and Posterior Approaches for Decompression and Instrumented Fusion to Treat Tuberculosis of the Thoracic Spine

2017 ◽  
Vol 11 (2) ◽  
pp. 294-304 ◽  
Author(s):  
Sudhir Kumar Srivastava ◽  
Rishi Anil Aggarwal ◽  
Sunil Krishna Bhosale ◽  
Kunal Roy ◽  
Pradip Sharad Nemade
Keyword(s):  
Thoracic Spine ◽  
Road Traffic ◽  
Single Incision ◽  
Case Series ◽  
Average Score ◽  
Posterior Fixation ◽  
Retrospective Case ◽  
Instrumented Fusion ◽  
Advantages And Disadvantages

<sec><title>Study Design</title><p>Retrospective case series.</p></sec><sec><title>Purpose</title><p>To describe a novel single incision that combines anterior and posterior approaches for decompression and instrumented fusion to treat tuberculosis of the thoracic spine and study the neurological and radiological outcomes.</p></sec><sec><title>Overview of Literature</title><p>Tuberculosis of the spine remains a major health issue in many developing countries. The options for treating tuberculosis of the thoracic spine include the anterior, posterior, and combined approaches, each with its advantages and disadvantages.</p></sec><sec><title>Methods</title><p>Totally, 143 patients with tuberculosis of the thoracic spine were surgically treated using the “Versatile approach”. Posterior fixation was performed using sublaminar wires and a Hartshill rectangle in all patients. Anterior reconstruction was accomplished using bone graft harvested from autologous rib, iliac crest, or fibula.</p></sec><sec><title>Results</title><p>The study included 45 males and 98 females, with a mean age of 33.18±18.65 years (range, 3–82 years) and a mean follow-up of 60.23±24.56 months (range, 18–156 months). Kyphosis improved from a mean value of 24.02 preoperatively to 10.25 postoperatively. A preoperative neurological deficit was observed in 131 patients, with 130 patients regaining ambulatory power. No patient had deterioration of neurological status following surgery. Fusion was achieved in all cases. The visual analogscale score improved from an average score of 7.02 preoperatively to 1.51 at final follow-up. Eight patients had superficial macerations, which healed spontaneously. One patient had buckling of the anterior graft, and one patient had implant breakage following road traffic accident.</p></sec><sec><title>Conclusions</title><p>The “Versatile approach” is an effective, single-stage, single-incision method that combines anterior and posterior approaches for the surgically treating tuberculosis of the thoracic spine. It offers the advantage of direct visualization for decompression and reconstruction of the anterior and posterior vertebral columns, thus providing an excellent, long-lasting clinical outcome.</p></sec>

scholarly journals Traumatic spondyloptosis: a series of 20 patients

2015 ◽  
Vol 22 (6) ◽  
pp. 647-652 ◽  
Author(s):  
Akash Mishra ◽  
Deepak Agrawal ◽  
Deepak Gupta ◽  
Sumit Sinha ◽  
Guru D. Satyarthee ◽  
...  
Keyword(s):  
Road Traffic ◽  
Spinal Injury ◽  
Deformity Correction ◽  
High Energy ◽  
Neurological Deficits ◽  
High Morbidity ◽  
Severe Injuries ◽  
Cord Injury ◽  
The Mean

OBJECT Spondyloptosis represents the most severe form of spondylolisthesis, which usually follows high-energy trauma. Few reports exist on this specific condition, and the largest series published to date consists of only 5 patients. In the present study the authors report the clinical observations and outcomes in a cohort of 20 patients admitted to a regional trauma center for severe injuries including spondyloptosis. METHODS The authors performed a retrospective chart review of patients admitted with spondyloptosis at their department over a 5-year period (March 2008–March 2013). Clinical, radiological, and operative details were reviewed for all patients. RESULTS In total, 20 patients with spondyloptosis were treated during the period reviewed. The mean age of the patients was 27 years (range 12–45 years), and 17 patients were male (2 boys and 15 men) and 3 were women. Fall from height (45%) and road traffic accidents (35%) were the most common causes of the spinal injuries. The grading of the American Spinal Injury Association (ASIA) was used to assess the severity of spinal cord injury, which for all patients was ASIA Grade A at the time of admission. In 11 patients (55%), the thoracolumbar junction (T10–L2) was involved in the injury, followed by the dorsal region (T1–9) in 7 patients (35%); 1 patient (5%) had lumbar and 1 patient (5%) sacral spondyloptosis. In 19 patients (95%), spondyloptosis was treated surgically, involving the posterior route in all cases. In 7 patients (37%), corpectomy was performed. None of the patients showed improvement in neurological deficits. The mean follow-up length was 37.5 months (range 3–60 months), and 5 patients died in the follow-up period from complications due to formation of bedsores (decubitus ulcers). CONCLUSIONS To the authors' best knowledge, this study was the largest of its kind on traumatic spondyloptosis. Its results illustrate the challenges of treating patients with this condition. Despite deformity correction of the spine and early mobilization of patients, traumatic spondyloptosis led to high morbidity and mortality rates because the patients lacked access to rehabilitation facilities postoperatively.

scholarly journals The Use of Percutaneous Screw Fixation without Fracture Site Preparation in the Treatment of 5th Metatarsal Base Non-Union

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0021
Author(s):  
Gavin Heyes ◽  
Michael Grant ◽  
Andrew P Molloy ◽  
Lyndon W Mason
Keyword(s):  
Screw Fixation ◽  
Process Zone ◽  
Styloid Process ◽  
Site Preparation ◽  
Fracture Pattern ◽  
Fracture Site ◽  
High Morbidity ◽  
Non Union ◽  
A Prospective Study

Category: Midfoot/Forefoot, Trauma Introduction/Purpose: Non-union following a proximal 5th metatarsal fracture can cause considerable pain with high morbidity with loss of work. Although many authors advocate early surgical management of zone 3 injuries (Jones fracture), zone 1 and 2 fractures are generally expected to heal with conservative management. Uncommonly, zone 1 and 2 fractures can develop non- unions. The aim of this study was to evaluate the efficacy of closed intramedullary screw fixation for non-unions of the 5th metatarsal base. Methods: We performed a prospective study involving all 5th metatarsal base non-unions treated in our department over 2 years. Only minimally-displaced adult fractures were considered for this study. The fracture pattern was categorised using the Dameron classification (zone 1 – styloid process, zone 2- meta-diaphyseal area, zone 3 – proximal diaphysis). All non-unions were fixed percutaneously under radiographic guidance, without fracture site preparation. Zone 1 injuries were fixed using a 3 mm headless compression screw and zone 2 and 3 with an intramedullary 4 mm screw. Results: Out of 30 patients included in this study, a minimum of 6 month clinical follow up was obtained. The average time from injury to treatment was 6 months (range 3-36 months). There were no smokers in this patient cohort. There were 12 zone 1 injuries, 9 zone 2 injuries and 9 zone 3 injuries. All patients achieved union by 3 months post screw fixation, with 29 out of 30 achieving union by 6 weeks. All patients had resolution of symptoms. There were no complications. Conclusion: We conclude that percutaneous fixation of 5th metatarsal base non-unions, without fracture site preparation, achieves excellent results. We believe that the screw alters the strain of the fracture, thus promoting fibrous to osseous conversion and therefore union.

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