Iyer R Dinesh, Sarkar Bhaskar, Azam Md Quamar, Kandwal Pankaj
Orthopaedics (Trauma and Emergency), All India Institute of Medical Sciences Raipur, Raipur, IND.
Orthopaedic Surgery, All India Institute of Medical Sciences Rishikesh, Rishikesh, IND.
Cureus. 2022 Mar 8;14(3):e22955. doi: 10.7759/cureus.22955. eCollection 2022 Mar.
The thoracolumbar spine is the most commonly afflicted area in vertebral column injuries. Here we bring up a case of a 20-year-old male who presented to our emergency department with a history of a high-velocity road traffic accident with noncontiguous two-level fracture-dislocations of the thoracolumbar spine with blunt trauma to the chest. The patient was managed with posterior reduction and instrumented postero-lateral fusion. Such an injury pattern has been reported only rarely in the literature. This report expects to highlight the unusual fracture pattern of a common injury and the challenges of managing such severe injuries intra-operatively and in the post-operative period.
胸腰椎是脊柱损伤中最常受累的部位。在此，我们提出一例20岁男性病例，该患者因高速道路交通事故致胸腰椎非连续双节段骨折脱位并伴有胸部钝性创伤，前来我院急诊科就诊。患者接受了后路复位及后路外侧器械融合术治疗。这种损伤模式在文献中仅有极少报道。本报告旨在强调常见损伤的不寻常骨折模式以及术中及术后处理此类严重损伤所面临的挑战。
