Yang Shih-Chieh, Yu Shang-Won, Chen Yeung-Jen, Chen Wen-Jer
Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2003 Aug;102(8):581-5.
Complete fracture-dislocation of the thoracic spine is a rare injury resulting from high-energy impaction that commonly presents with severe neurological deficit. We report a case of this condition in a patient who was involved in a motorcycle-vehicle collision, that resulted in multiple trauma and complete fracture-dislocation of the T7-T8 with middle column-posterior column dissociation. A posterior approach was used for decompression and immediate stabilization of this severe, unstable injury, combined with an anterior approach for anatomic reduction and intervertebral body fusion. No neurological complications occurred either preoperatively or postoperatively.
胸椎完全骨折脱位是一种由高能量撞击导致的罕见损伤，通常伴有严重的神经功能缺损。我们报告一例此类病例，患者因摩托车与机动车碰撞而受伤，导致多发伤以及T7-T8完全骨折脱位并伴有中柱-后柱分离。采用后路手术进行减压并即刻稳定这种严重的不稳定损伤，同时结合前路手术进行解剖复位和椎体间融合。术前及术后均未发生神经并发症。
