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胸椎严重后外侧脱位伴创伤性骨折：一例报告

Traumatic Fracture of the Thoracic Spine With Severe Posterolateral Dislocation: A Case Report.

作者信息

Zygogiannis Konstantinos, Manolakos Konstantinos, Kalampokis Anastasios, Thivaios Georgios C, Moschos Savvas

机构信息

Trauma and Orthopaedics, Laiko General Hospital of Athens, Athens, GRC.

6th Orthopedic Department, KAT Hospital, Athens, GRC.

出版信息

Cureus. 2022 Apr 4;14(4):e23830. doi: 10.7759/cureus.23830. eCollection 2022 Apr.

DOI:10.7759/cureus.23830
PMID:35530925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9072279/
Abstract

Thoracic spine fracture-dislocation injuries are always associated with high-energy trauma and result in severe neurological symptoms. Surgical reconstruction and stabilization are essential for the early mobilization and rehabilitation of patients with this type of injury. Here, we present a unique case of a 57-year-old Greek male who sustained a posterolateral T3-T4 fracture-dislocation, with a complete spinal cord injury (SCI), after falling from a height. The patient was treated with surgical reduction and internal fixation with screws and rods, with satisfactory subsequent realignment.

摘要

胸椎骨折脱位损伤总是与高能量创伤相关，并导致严重的神经症状。手术重建和稳定对于这类损伤患者的早期活动和康复至关重要。在此，我们报告一例独特病例，一名57岁的希腊男性从高处坠落，导致胸3-胸4后外侧骨折脱位，并伴有完全性脊髓损伤（SCI）。该患者接受了手术复位并用螺钉和棒进行内固定治疗，随后获得了满意的复位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/23acb883a5ba/cureus-0014-00000023830-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/45bea4195c11/cureus-0014-00000023830-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/88adcecc1f03/cureus-0014-00000023830-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/83405736e7d8/cureus-0014-00000023830-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/1fe914c63ff0/cureus-0014-00000023830-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/0a6b1b363701/cureus-0014-00000023830-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/23acb883a5ba/cureus-0014-00000023830-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/45bea4195c11/cureus-0014-00000023830-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/88adcecc1f03/cureus-0014-00000023830-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/83405736e7d8/cureus-0014-00000023830-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/1fe914c63ff0/cureus-0014-00000023830-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/0a6b1b363701/cureus-0014-00000023830-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fae/9072279/23acb883a5ba/cureus-0014-00000023830-i06.jpg

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3
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Surg Neurol Int. 2018 Aug 10;9:158. doi: 10.4103/sni.sni_204_18. eCollection 2018.
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ANZ J Surg. 2018 Oct;88(10):1083-1085. doi: 10.1111/ans.13747. Epub 2016 Nov 18.
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