Fixation of high thoracic spine fractures. A case report Maciej Śniegocki, Stanisław Sosnowski, Wojciech Beuth, Heliodor Adam Kasprzak, Bartek Woźniak, Maciej Bierwagen Ortop Traumatol Rehabil 2000; 2(2):50-51 ICID: 500693
Article type: Case report
IC™ Value: 1.80
Abstract provided by Publisher
Fractures of the thoracic spine are very frequently accompanied by spinal cord compression syndromes, including symptoms that would indicate complete severance of the spinal cord. The indicates a very small reverse of space, especially in the upper and middle segments of the thoracic spine. Even a few millimeters of dislocation among the fragments of broken vertebrae can disrupt the proper anatomical relations and produce neurological deficits. Early intervention – in the form of complete immobilization of the damaged spinal segment, the administration of Solu-Medrol in a dosage consistent with the NASCIS II recommendations, and early surgical treatment with full decompression of the nerve elements – can lead to improvement. Despite the natural splinting provided by the ribs and the sternum, the thoracic spine requires good fixation after the decompression operation, followed in short order by intensive rehabilitation.
ICID 500693 PMID 18034120 - click here to show this article in PubMed