A Rare Hyperextension Injury in Thoracic Spine Presenting with Delayed Paraplegia
| Autor: | Jun-Ku Lee, Yoon-Sik Cha, Ki-Sik Nam, Hyung-Ku Yoon, Dong-Eun Shin |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Paraplegia
musculoskeletal diseases Hyperextension injury medicine.medical_specialty medicine.diagnostic_test business.industry Hyperextension Case Report Magnetic resonance imaging Intervertebral disc medicine.disease Spinal cord Thoracic Vertebrae Surgery medicine.anatomical_structure Lumbar Thoracic vertebrae Medicine Orthopedics and Sports Medicine business Disc herniation |
| Zdroj: | Asian Spine Journal |
| ISSN: | 1976-7846 1976-1902 |
| DOI: | 10.4184/asj.2013.7.2.126 |
| Popis: | Hyperextension injury in the thoracic spine is uncommon with only a few cases documented in the literature. The mechanism of these injuries is hyperextension combined with axial or shearing force. These types of injuries are associated with a high risk of dural tears and paraplegia. A 91-year-old female presented with acute back pain from a hyperextension injury in thoracic spine with no neurological deficit. Lumbar magnetic resonance imaging showed a intervertebral disc rupture. On day 20 of hospitalization, the herniated intervertebral disc compressed the spinal cord with incomplete paraplegia. Hyperextension injuries involving the three columns are very unstable and we recommend surgical treatment as soon as possible, not only because of the initial trauma, but a ruptured disc herniation can damage the spinal cord. |
| Databáze: | OpenAIRE |
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