胸椎骨折伴瘫痪和食管穿孔。
Fracture of the thoracic spine with paralysis and esophageal perforation.
作者信息
Brouwers M A, Veldhuis E F, Zimmerman K W
机构信息
Department of Traumatology, Groningen University Hospital, The Netherlands.
出版信息
Eur Spine J. 1997;6(3):211-3. doi: 10.1007/BF01301440.
Abstract
A 17-year-old young man presented with a highly unstable fracture dislocation of the third and fourth thoracic vertebrae with neurological deficit, in which the fractured spine had perforated the thoracic esophagus. Open reduction and internal fixation of the spinal fractures in combination with aggressive treatment of the mediastinitis caused by esophageal perforation, consisting of two re-thoracotomies, was performed. Two years after the accident, the patient had recovered well. The neurological deficit had recovered, and there were no difficulties with swallowing.
摘要
一名17岁青年因第三和第四胸椎高度不稳定骨折脱位伴神经功能缺损就诊，骨折的脊柱已穿透胸段食管。对脊柱骨折进行切开复位内固定，并积极治疗由食管穿孔引起的纵隔炎，包括两次再次开胸手术。事故发生两年后，患者恢复良好。神经功能缺损已恢复，吞咽也没有困难。
相似文献
1
Fracture of the thoracic spine with paralysis and esophageal perforation.胸椎骨折伴瘫痪和食管穿孔。
Eur Spine J. 1997;6(3):211-3. doi: 10.1007/BF01301440.
2
Esophageal occlusion caused by thoracic spine fracture or dislocation: CT diagnosis.胸椎骨折或脱位所致食管梗阻：CT诊断
AJR Am J Roentgenol. 1996 Sep;167(3):714-5. doi: 10.2214/ajr.167.3.8751687.
3
Complete fracture-dislocation of the thoracic spine with spontaneous neurologic decompression: a case report.
Changgeng Yi Xue Za Zhi. 1995 Dec;18(4):387-91.
4
Fracture dislocation of the spine at the thoracolumbar junction.胸腰段脊柱骨折脱位
Nebr Med J. 1996 Dec;81(12):429-31.
5
Open fracture dislocation of the thoracic spine: a case report.胸椎开放性骨折脱位：一例报告
Spine J. 2007 Jul-Aug;7(4):491-4. doi: 10.1016/j.spinee.2006.08.008. Epub 2007 Feb 23.
6
Paraplegia secondary to fracture-subluxation of the thoracic spine sustained playing rugby union football.因在英式橄榄球联合比赛中遭受胸椎骨折半脱位而导致的截瘫。
Br J Sports Med. 2004 Dec;38(6):e32. doi: 10.1136/bjsm.2003.009837.
7
Complete fracture-dislocation of the thoracic spine without neurologic deficit: case report.胸椎完全性骨折脱位且无神经功能缺损：病例报告
J Trauma. 1994 Jan;36(1):122-4. doi: 10.1097/00005373-199401000-00022.
8
Neglected complete fracture-dislocation at the cervico-thoracic level without neurological deficit.颈胸段被忽视的完全骨折脱位，无神经功能缺损。
Injury. 1998 Jun;29(5):385-9. doi: 10.1016/s0020-1383(97)00214-3.
9
Thoracic spinal injuries: operative treatments and neurologic outcomes.胸椎脊髓损伤：手术治疗与神经功能结果
Am J Orthop (Belle Mead NJ). 2003 Feb;32(2):85-8.
10
Surgical treatment for thoracic spine fracture-dislocation without neurological deficit.无神经功能缺损的胸椎骨折脱位的外科治疗
J Formos Med Assoc. 2003 Aug;102(8):581-5.
引用本文的文献
1
Esophageal perforation with near fatal mediastinitis secondary to Th3 fracture.第三胸椎骨折导致食管穿孔伴濒死性纵隔炎。
Wien Klin Wochenschr. 2024 Oct;136(19-20):575-580. doi: 10.1007/s00508-024-02397-3. Epub 2024 Jul 10.
2
Esophageal Perforation and Epidural Abscess in a Patient with Thoracic Vertebral Fracture: A Case Report and Literature Review.胸椎骨折患者并发食管穿孔和硬膜外脓肿：一例报告及文献复习
Spine Surg Relat Res. 2022 Oct 13;7(2):192-196. doi: 10.22603/ssrr.2022-0153. eCollection 2023 Mar 27.
3
Esophageal perforation associated with fracture of the upper thoracic spine from blunt trauma: a case report.钝性创伤致上胸椎骨折伴食管穿孔：一例报告
Spinal Cord Ser Cases. 2016 Apr 7;2:15034. doi: 10.1038/scsandc.2015.34. eCollection 2016.
4
Spinal Epidural Abscess Presenting with Paraplegia Following Delayed Presentation of Traumatic Esophageal Perforation without Spinal Fracture: Lessons to be Learnt.创伤性食管穿孔延迟就诊且无脊柱骨折后出现截瘫的脊髓硬膜外脓肿：吸取的教训
Eur J Trauma Emerg Surg. 2010 Jun;36(3):247-9. doi: 10.1007/s00068-009-8225-y. Epub 2009 Jun 19.
5
Severe thoracic spinal fracture-dislocation without neurological symptoms and costal fractures: a case report and review of the literature.无神经症状的严重胸椎骨折脱位合并肋骨骨折：一例报告及文献复习
J Med Case Rep. 2014 Oct 14;8:343. doi: 10.1186/1752-1947-8-343.
本文引用的文献
1
Anterior instrumentation of the spine in thoracic and thoracolumbar fractures: the single rod versus the double rod Slot-Zielke device.
Spine (Phila Pa 1976). 1996 Mar 15;21(6):734-40. doi: 10.1097/00007632-199603150-00015.
2
A comprehensive classification of thoracic and lumbar injuries.胸腰椎损伤的综合分类
Eur Spine J. 1994;3(4):184-201. doi: 10.1007/BF02221591.
3
Esophageal and hypopharyngeal injuries in patients with cervical spine trauma.颈椎创伤患者的食管和下咽损伤。
Ann Otol Rhinol Laryngol. 1981 Jul-Aug;90(4 Pt 1):323-7. doi: 10.1177/000348948109000406.
4
Oesophageal perforation with fracture dislocation of cervical spine due to hyperextension injury.过伸性损伤致颈椎骨折脱位并食管穿孔
Br J Radiol. 1982 May;55(653):369-72. doi: 10.1259/0007-1285-55-653-369.
5
Occult esophageal perforation associated with cervical spine fracture.隐匿性食管穿孔与颈椎骨折相关。
Neurosurgery. 1984 Apr;14(4):492-4.
6
[Halo traction].[头环牵引]
Ned Tijdschr Geneeskd. 1971 Dec 11;115(50):2124-6.
7
Anterior decompression of traumatic thoracolumbar fractures with incomplete neurological deficit using a retroperitoneal approach.采用腹膜后入路对伴有不完全神经功能缺损的创伤性胸腰椎骨折进行前路减压。
J Bone Joint Surg Am. 1985 Jan;67(1):89-104.
8
Rupture of the cervical esophagus and trachea associated with cervical spine fracture.
J Trauma. 1987 May;27(5):564-6. doi: 10.1097/00005373-198705000-00018.
9
Esophageal perforation following external blunt trauma.外部钝性创伤后食管穿孔。
J Trauma. 1988 Oct;28(10):1425-32. doi: 10.1097/00005373-198810000-00003.
10
Streptococcus milleri, pathogen in various guises.米勒链球菌，多种形式的病原体。
Lancet. 1985;2(8469-70):1403-4.
Zotero 插件