A Rare Hyperextension Injury in Thoracic Spine Presenting with Delayed Paraplegia
نویسندگان
چکیده
Hyperextension injury in the thoracic spine is uncommon with only a few cases documented in the literature. The mechanism of these injuries is hyperextension combined with axial or shearing force. These types of injuries are associated with a high risk of dural tears and paraplegia. A 91-year-old female presented with acute back pain from a hyperextension injury in thoracic spine with no neurological deficit. Lumbar magnetic resonance imaging showed a intervertebral disc rupture. On day 20 of hospitalization, the herniated intervertebral disc compressed the spinal cord with incomplete paraplegia. Hyperextension injuries involving the three columns are very unstable and we recommend surgical treatment as soon as possible, not only because of the initial trauma, but a ruptured disc herniation can damage the spinal cord.
منابع مشابه
Double Level Extension-Distraction Thoracic Spine Injuries with Concomitant Double Level Sternal Fractures:A Case Report
Extension-distraction injuries caused by hyperextension of the spine typically occur in the cervical region, as seen in “whiplash” injuries. This type of injury is rare in the thoracolumbar spine, comprising less than 3% of fractures in this region . Denis and Burkus described it as “lumberjack paraplegia” as most patients with this injury were struck in the back by a falling tree . Rare instan...
متن کاملDelayed leg paraplegia associated with hyperextension injury in patients with diffuse idiopathic skeletal hyperostosis (DISH): case report and review of the literature
Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by calcifications and ossification of ligaments and tendon insertions. The patients with DISH are susceptible to spinal column injury with trivial trauma due to immobilization of vertebrae and this easily leads to spinal cord injury. However, only few reports on hyperextension injuries of the thoracolumbar spine with DISH exist. H...
متن کاملAcute injuries of the upper thoracic spine associated with paraplegia.
A review of 35 cases of acute injury of the upper thoracic spine associated with paraplegia was done. In 32, a fracture-dislocation was present; in two, there was a dislocation without associated fracture; and in one, neither fracture nor dislocation was identified. A total of 22 cases conformed to a pattern of injury consisting of anterior fracture dislocation with disruption of the intervenin...
متن کاملSpinal Cord Injury Without Radiological Abnormality in Adult Thoracic Spinal Trauma
INTRODUCTION Spinal cord injury without radiological abnormality (SCIWORA) is a rare entity and usually involves the cervical spine. Thoracic spine involvement is very rare due to the stability provided by the rib cage. The mechanisms of injury and pathophysiology are still debatable. CASE PRESENTATION We present a case of an adult male who had road traffic accident and presented with paraple...
متن کاملParaplegia secondary to fracture-subluxation of the thoracic spine sustained playing rugby union football.
Fractures of the spinal column during rugby matches of all codes are rare but catastrophic, especially when associated with spinal cord injury. The cervical spine is vulnerable during trauma to the head and neck in contact sports. Spinal injuries reported during rugby matches have almost exclusively involved the cervical region, often with neurological sequelae. This is the first reported case ...
متن کامل