The authors report a case of a 78-year-old polytrauma patient, with severe thoracic trauma and bilateral symmetrical periprosthetic femoral fractures after a violent car accident. After the primary survey, with the thoracic trauma stabilized, neurovascular lesions excluded, and provisional immobilization applied, both fractures were classified as OTA: 33-A3, Rorabeck Type II, and closed reducti...

Lumbar spinal stenosis (LSS) is primarily found in an older population. This is a similar demographic group that develops both osteoporosis and vertebral compression fractures (VCF). This report reviewed a series of patients treated for VCF that had previous lumbar surgery for symptomatic spinal stenosis. Patients that only underwent laminectomy or fusion without instrumentation had a similar d...

This study investigated possible contributors to lateral spinal angulation after surgical fixation of thoracolumbar fractures via an anterior approach. We retrospectively examined lateral angulation in 172 cases of thoracolumbar fractures treated in this manner. The coronal Cobb angle and angles of the screws relative to the endplates were determined from radiographs. The patients completed the...

Bone mineral density of the lumbar vertebrae (L2-4BMD) in involutional osteoporosis was measured by dual photon absorptiometry to investigate its relationship with the incidence of osteoporotic vertebral fractures of the thoracic and lumbar spine. In addition to monitor L2-4BMD, the author also examined the progress of vertebral fractures during drug treatments by means of radiographs. L2-4BMD ...

OBJECTIVE To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma. METHODS We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Inju...

World Spinal Column Journal, Volume 6 / No: 3 / September 2015 AbSTrACT AIM: To assess the demographics, treatments, and radiographic and clinical outcomes of pediatric compression fractures. MATErIAl and METHoDS: A retrospective review of all pediatric patients presenting to a single institution between 2009 and mid 2012 with thoracic or lumbar compression fracture(s) was conducted. The mechan...

The objective of this study was to assess the etiology, diagnosis, treatment methods, surgical findings, postoperative results and necropsy findings of seventeencases of thoracic traumaby evaluating medical records. A car accident, falling down, stabbing and bites were identified asthe causes of trauma. Diagnosed pathologies in the cases included pneumothorax, hemothorax, pulmonary contusion, l...

OBJECTIVE To compare the level of agreement of quantitative morphometry of the vertebrae on lateral views of the spine using conventional X-ray and using a dual X-ray absorptiometry device (DXA) in determining the degree of wedging of vertebrae in patients with ankylosing spondylitis (AS). METHODS Thirty patients with AS underwent DXA to acquire single-energy morphometric X-ray absorptiometry...

We report three cases of a rare pattern of mid-thoracic spine injuries after horse racing falls and discuss possible causative factors and prevention measurements to reduce injury rates in professional riding and racing. Three patients, 2 male and 1 female with a mean age of 28 years old, underwent surgical treatment for mid-thoracic fractures after professional equestrian activities. The ASIA ...

BACKGROUND Chest wall implosion injuries secondary to side impact are unusual but devastating injuries. The purpose of this series is to describe the clinical entity, present a surgical technique to reduce and repair the thoracic cage deformity without thoracotomy, and report outcomes in nine patients. STUDY Institutional review board approved retrospective case series, surgical technique. ...