Lekovic Gregory P, Horn Eric M, Dickman Curtis A
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.
Spine J. 2006 May-Jun;6(3):330-4. doi: 10.1016/j.spinee.2005.04.009.
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.
We present a patient with a thoracic distraction injury who remained neurologically intact.
The patient underwent thoracoscopic reduction and anterior fixation of the thoracic spine using a paired screw-rod construct.
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.
The endoscopic approach to the anterior thoracic spine was an excellent treatment option for this thoracic distraction injury.
胸椎过伸性骨折脱位是一种罕见的创伤性脊柱损伤类型，通常伴有严重的脊柱不稳定和严重的神经功能缺损。尽管这些损伤临床表现可能较轻，但因其极度不稳定，仍需进行内固定。
我们报告一例胸椎牵张性损伤患者，其神经功能保持完整。
该患者接受了胸腔镜下胸椎复位及前路双棒螺钉内固定术。
术后，患者神经功能保持完整，未出现与胸椎固定融合相关的并发症。随访X线片显示胸椎对线良好且已实现骨融合。
对于该胸椎牵张性损伤，内镜下前路胸椎手术是一种极佳的治疗选择。
