Upper Thoracic spine(D2-D3) fracture-dislocation without Spinal cord injury – a case report


Rajkumar Jayachandran Sundarapandian, Karthik Kailash, Chandrasekar Kalavakonda

Abstract


Fracture dislocations of the thoracic spine in extremly rare and when it occurs,it is considered the most unstable of spinal injuries and is almost always associated with injury to the spinal cord due to narrow spinal canal dimensions.Very few neurologically intact cases of thoracic spine fracture dislocation have been reported in the literature ,which are mostly around the dorsolumbar junction and none in the upper thoracic spine.Here we report a case of 44 years old man who was in a road traffic accident and diagnosed with fracture dislocation of D2 over D3 vertebra with no neurological deficit.Patient was treated with Posterior spinal stabilization,reduction and D2 laminectomy.Patient remanined neurologically intact post operatively.Here we discuss the significance of this injury and the neural sparing mechanism of posterior neural arch disruption(bilateral pedicle fracture and lamina fracture),which  preserves the spinal canal and the spinal cord from being damaged.We also discuss about the usefulness of CT scan and MR imaging in these injuries and the surgical approaches used in treating them.

 

 

Keywords-fracture dislocation,thoracic spine,surgical approaches

 

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About this article

Title

Upper Thoracic spine(D2-D3) fracture-dislocation without Spinal cord injury – a case report

Date

01-11-2014

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 7, Issue 5 (November - December) 2014 Page: 1-3

Print ISSN

0974-2441

Online ISSN

2455-3891

Authors & Affiliations

Rajkumar Jayachandran Sundarapandian

Karthik Kailash

Chandrasekar Kalavakonda


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