scholarly journals Double-level noncontiguous thoracic Chance fractures treated with percutaneous stabilization: illustrative case

2021 ◽  
Vol 2 (23) ◽  
Author(s):  
Matthew H. MacLennan ◽  
Dana El-Mughayyar ◽  
Najmedden Attabib
Keyword(s):  
Back Pain ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Traumatic Event ◽  
Neurological Deficits ◽  
Illustrative Case ◽  
Vehicle Accident ◽  
Hardware Complications ◽  
Severe Back Pain ◽  
Percutaneous Stabilization

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.

Operative management of traumatic cervical spine distraction and complete cord transection in a 3-year-old patient

2015 ◽  
Vol 15 (2) ◽  
pp. 214-219 ◽  
Author(s):  
Monica Salazar Davern ◽  
Sumeet Garg ◽  
Todd C. Hankinson
Keyword(s):  
Spinal Cord ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Cervical Spinal Cord ◽  
Young Patients ◽  
Operative Management ◽  
Neurological Deficits ◽  
Spinal Instability ◽  
Ethical Challenges ◽  
Vehicle Accident

This report describes the presentation and operative treatment of a 3-year-old boy who survived a motor vehicle accident that resulted in a C6–7 distraction injury, complete avulsion of the spinal cord, and gross spinal instability. Only 5%–10% of all spinal cord and vertebral column injuries occur in children. Survival after such an injury is exceptionally rare in very young patients and is associated with severe neurological deficits. The authors discuss the substantial ethical challenges involved in the care of a patient with this injury. To their knowledge, only two other cases of survival have been reported in pediatric patients following motor vehicle trauma resulting in complete injury to the lower cervical spinal cord.

Delayed-Onset Posttraumatic Stress Disorder: A Prospective Evaluation

2002 ◽  
Vol 36 (2) ◽  
pp. 205-209 ◽  
Author(s):  
Richard A Bryant ◽  
Allison G Harvey
Keyword(s):  
Heart Rate ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Traumatic Event ◽  
Resting Heart Rate ◽  
Delayed Onset ◽  
Vehicle Accident

Objective: Delayed onset posttraumatic stress disorder (PTSD) refers to PTSD that develops at least 6 months after the traumatic event. This study aimed to index the features of patients who develop delayed-onset PTSD. Method: This study investigated delayed onset PTSD by prospectively assessing 103 motor vehicle accident survivors within 1 month of the motor vehicle accident for acute stress disorder, and subsequently assessing them for PTSD 6 months post-accident, and 2 years post-accident. Patients were initially assessed for symptoms of traumatic stress, anxiety, depression, and resting heart rate. Results: Five patients displayed PTSD 2 years post-trauma without meeting PTSD criteria 6 months posttrauma. Delayed onset cases were characterized by elevated psychopathology scores and resting heart rate levels within the initial month and elevated psychopathology 6 months posttrauma. Conclusions: These findings suggest that cases of delayed onset PTSD suffer subsyndromal levels of posttraumatic stress prior to the diagnosis of PTSD. These findings challenge the notion of PTSD developing after a period without symptoms.

MINIMALLY INVASIVE RESECTION OF INTRAMEDULLARY EPENDYMOMA

Neurosurgery ◽  
2009 ◽  
Vol 65 (6) ◽  
pp. E1203-E1204 ◽  
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.

Acute stress response: a comparison of head injured and non-head injured patients

1995 ◽  
Vol 25 (4) ◽  
pp. 869-873 ◽  
Author(s):  
Richard A. Bryant ◽  
Allison G. Harvey
Keyword(s):  
Stress Responses ◽  
Motor Vehicle ◽  
Acute Stress ◽  
Motor Vehicle Accident ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Head Injured ◽  
Post Traumatic ◽  
Injured Patients

SYNOPSISAcute stress responses were investigated in head injured (N = 38) and non-head injured (N = 38) motor vehicle accident victims immediately following their trauma. Results indicated that amnesia of the traumatic event was associated with less acute post-traumatic stress, intrusive symptoms, perceived injury, and fear of future risk. A proportion of head injured patients reported intrusive and avoidance symptoms despite being amnesic of their trauma. Findings are discussed in terms of the differential post-traumatic adjustment of head injured and non-head injured traumatized patients.

Virtual reality and computer games in the treatment of driving phobia induced by a motor vehicle accident

2003 ◽  
Author(s):  
David Walshe ◽  
Elizabeth Lewis ◽  
Kathleen O'Sullivan ◽  
Brenda K. Wiederhold ◽  
Sun I. Kim
Keyword(s):  
Virtual Reality ◽  
Computer Games ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident
Sign in / Sign up

Export Citation Format

Share Document