DeAngelis Joseph P, Aubin Michelle, Krompinger W Jay
Department of Orthopedic Surgery, University of Connecticut School of Medicine, Farmington, CT 06034, USA.
Spine J. 2007 Jul-Aug;7(4):491-4. doi: 10.1016/j.spinee.2006.08.008. Epub 2007 Feb 23.
This injury has not been reported previously in the thoracic spine. All previous open fracture dislocations of the spine have been reported in the lumbosacral spine with three posterior and two anterior dislocations.
To describe the treatment of an open thoracic fracture dislocation with primary open reduction, posterior stabilization, and fusion.
Case report.
A 25-year-old male pedestrian was struck by a car sustaining an open fracture dislocation of T8 on T9 with complete transection of the spinal cord. The accident resulted in complete paralysis of both lower extremities, a paraspinal hematoma from T4 to T12, and bilateral pneumothoracies. After wound irrigation and debridement, an open posterior reduction and stabilization was completed. The wound was closed primarily.
Two years after surgery, there was a solid fusion and no evidence of infection. The patient has persistent paralysis of both lower extremities.
Open thoracic spinal fracture dislocations can be effectively treated with primary open reduction and fusion with instrumentation.
此前尚未有胸椎出现这种损伤的报道。既往所有开放性脊柱骨折脱位均见于腰骶部，其中3例为后路脱位，2例为前路脱位。
描述开放性胸椎骨折脱位采用一期切开复位、后路稳定及融合术的治疗方法。
病例报告。
一名25岁男性行人被汽车撞击，导致T8-T9开放性骨折脱位，脊髓完全横断。此次事故导致双下肢完全瘫痪，T4至T12椎旁血肿形成，双侧气胸。伤口冲洗清创后，完成一期切开后路复位及稳定术。伤口一期缝合。
术后两年，融合稳固，无感染迹象。患者双下肢仍持续瘫痪。
开放性胸椎骨折脱位采用一期切开复位并器械融合术可有效治疗。
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