Liebeskind Mia, Clarke Jamie E, Huang Jimmy C
Department of Radiology, University of California Los Angeles, Los Angeles, USA.
Cureus. 2025 Jun 24;17(6):e86656. doi: 10.7759/cureus.86656. eCollection 2025 Jun.
Cardiopulmonary resuscitation (CPR), an important life-saving procedure implemented in dire situations, carries a risk of traumatic injuries. One such injury that may arise from the chest compressions performed during CPR is a bone fracture. Although the most commonly involved fracture locations are the ribs and sternum, spinal fractures may also occur. In this case report, the authors share a unique case of a distraction-hyperextension thoracic spine fracture in a patient who had an inferiorly adjacent multilevel spinal fusion and subsequently endured a T9 fracture with anterior vertebral body distraction and intra-vertebral body hematoma formation after CPR. Through this case report, the authors aim to (i) describe the imaging findings of this thoracic spine injury and (ii) convey the pertinent medical history and mechanical factors of CPR that may have contributed to this fracture pattern. Increased awareness of potential spinal injuries from CPR and understanding their mechanism will aid in detection and timely management when evaluating a patient with back pain following CPR.
心肺复苏术（CPR）是在危急情况下实施的一项重要的救生程序，但存在造成创伤性损伤的风险。CPR期间进行的胸部按压可能导致的一种损伤是骨折。虽然最常涉及的骨折部位是肋骨和胸骨，但也可能发生脊柱骨折。在本病例报告中，作者分享了一例独特的病例，一名患者在相邻下位进行了多级脊柱融合，随后在CPR后发生了T9椎体骨折，伴有椎体前部牵张和椎体内血肿形成。通过本病例报告，作者旨在（i）描述该胸椎损伤的影像学表现，以及（ii）传达CPR的相关病史和可能导致这种骨折类型的机械因素。提高对CPR潜在脊柱损伤的认识并了解其机制，将有助于在评估CPR后背痛患者时进行检测和及时处理。
