Distraction injury to thoracic spine treated with thoracoscopic dual-rod fixation

Gregory P. Lekovic, Eric M. Horn, Curtis A. Dickman

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background context: Thoracic hyperextension fracture-dislocation is a rare pattern of traumatic spinal injury, typically associated with gross spinal instability and severe neurological deficit. These extremely unstable injuries require internal fixation despite their potentially benign clinical presentation. Purpose: We present a patient with a thoracic distraction injury who remained neurologically intact. Methods: The patient underwent thoracoscopic reduction and anterior fixation of the thoracic spine using a paired screw-rod construct. Results: Postoperatively, the patient remained neurologically intact and had no complications related to his thoracic fixation and fusion. Follow-up radiographs showed maintenance of thoracic alignment and bony fusion. Conclusions: The endoscopic approach to the anterior thoracic spine was an excellent treatment option for this thoracic distraction injury.

Original languageEnglish (US)
Pages (from-to)330-334
Number of pages5
JournalSpine Journal
Volume6
Issue number3
DOIs
StatePublished - May 1 2006

Keywords

  • Hyperextension injury
  • Thoracic spine
  • Thoracoscopic fixation
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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