Fracture-Dislocation of the Thoracic Spine Without Spinal Cord Injury. A Case Report.

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Fracture-dislocations of the thoracic spine are frequentry associated with severe neurological deficits because of the anatomical characteristics. We report a case of fracture-dislocation of the thoracic spine without spinal cord injury. A22-year-old lady was involved in a traffic accident and sustained an open fracture of the forearm and haemothorax. She complained of dyspnea and back pain, although neurological examinations were normal. Radiographs showed a fracture-dislocation at T7-8. The body of T7 was displaced anterioly and to the right of T 8. CT myelogram demonstrated that the spinal cord was surrounded by fractured arch and body. Three weeks after injury, spinal fusion was curried out using Harrington instrumentation. Now, she resumed a full-time job without any problems. The pathology of this injury was studied by the investigations of CT findings. We discuss the diagnostic problems and management in such cases.
西日本整形・災害外科学会の論文