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上胸椎(D2-D3)骨折伴单侧小关节绞锁且无相关神经功能缺损:病例报告及文献综述

Upper Thoracic Spine (D2-D3) Fracture With Unilateral Lock Facets Without Associated Neurological Deficits: Case Report & Literature Review.

作者信息

Arshad Mohammad Mohsin, Khan Muhammad Mohsin, Al Sulaiti Ghanem, Al Rumaihi Ghaya

机构信息

Department of Neurosurgery, Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar.

出版信息

Int Med Case Rep J. 2024 Jan 6;17:17-21. doi: 10.2147/IMCRJ.S412949. eCollection 2024.

Abstract

INTRODUCTION

Upper thoracic spine fractures are rare as compared to other spine segments due to anatomical landmarks. If they occur, they are usually associated with paraplegia or any other neurological dysfunction. We report upper thoracic fracture without neurological dysfunction which is a rare entity along with its radiological imaging, and management plan.

CASE DESCRIPTION

Forty-years old male presented after RTA. CT spine showed T2 vertebral body fracture with dislocation/locking of the right T2-T3 facet joint. The patient underwent surgical fixation and was neurologically intact.

CONCLUSION

Upper thoracic spine fracture is a rare entity due to its anatomical location. And sometimes it is missed as well. Proper imaging should be considered if there is high suspicion and early surgery is warranted to prevent permanent damage.

摘要

引言

由于解剖学标志,与其他脊柱节段相比,上胸椎骨折较为罕见。如果发生,通常会伴有截瘫或任何其他神经功能障碍。我们报告了一例无神经功能障碍的上胸椎骨折,这是一种罕见的情况,并介绍了其放射影像学表现及治疗方案。

病例描述

一名40岁男性在交通事故后就诊。脊柱CT显示T2椎体骨折伴右侧T2-T3小关节脱位/交锁。患者接受了手术固定,神经功能完好。

结论

由于其解剖位置,上胸椎骨折是一种罕见的情况。有时也会被漏诊。如果高度怀疑,应进行适当的影像学检查,并且有必要尽早手术以防止永久性损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/10778223/9b259b5144fa/IMCRJ-17-17-g0001.jpg

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