Traumatismo raquimedular torácico: un resultado funcional adecuado con manejo quirúrgico oportuno.

Morales-Valencia, Carlos; Solís-Pérez, José R.; Vaca-Ruiz, Miguel Á.; Morales-Valencia, Eduardo; Escobar-Gasca, María M.

Spinal cord trauma can be a devastating injury for the trauma patient, being associated with high mortality rates and significant morbidity. Fracture of the cervical spine is the most common, followed by the thoracolumbar region, but thoracolumbar fracture- dislocations are less frequent. Most of these types of fracture-dislocations at the thoracic level are associated with severe spinal cord injury and complete neurological deficit. Female patient with a fracture at level T6-T7 secondary to a fall of 3 meters after motorcycle skid. On physical examination, 4/5 pelvic limbs were strong, with no other neurological deficit. Computed tomography and magnetic resonance imaging show a fracture due to a translation and rotation mechanism, causing injury to both the anterior elements and the posterior ligament complex, accompanied by a sternal fracture that required conservative management, which is why it is classified as a type C of the AOSpine at level T6-T7, treated with posterolateral fixation. Fractures-dislocation at the thoracic level are uncommon and require surgical management due to the instability and neurological deficit that they may present. Timely surgical treatment avoids permanent neurological sequelae and leads to better neurological recovery.

SPAIN; THORACIC vertebrae injuries; SPINE radiography; PATIENTS; TRAFFIC accidents; FRACTURE fixation; COMPUTED tomography; SPINAL cord injuries; VERTEBRAL fractures; EMERGENCY medical services; MAGNETIC resonance imaging; STERNUM; JOINT dislocations; BONE fractures; NEUROLOGICAL disorders; LUMBAR vertebrae; CHEST injuries; ACCIDENTAL falls

Archivos de Neurociencias, 2024, Vol 29, Issue 3, p112

1028-5938

Academic Journal

10.24875/ANC.M24000008