Sternal metastases are not studied extensively in the literature. There is a paucity of information on their role in metastatic disease. The concept of the fourth column was described by Berg in 1993, and has been proven in case report, clinically and biomechanical studies. The role of the sternum as a support to the thoracic spine is well documented in the trauma patients, but not much is know...

Segmental artery pseudoaneurysm is a rare complication of spinal trauma. We present an unusual case of thoracic 11-12 segmental artery pseudoaneurysm caused by thoracal spine fracture. A 72-year-old man was admitted to our emergency department because of a car accident. Neurological examination revealed complete motor and sensorial deficiency below the level of T10. Direct x-ray of the thoracic...

INTRODUCTION Fracture-dislocation of the thoracic or lumbar spine often results in severe neurologic deficits if dislocation is significant. However, cases of fracture-dislocation of the thoracic or lumbar spine without neurologic deficits are rarely reported in the literature, and the choice of the treatment has been controversial. CASE REPORT Two female patients, aged 27 and 35 years, were ...

In a review of 155 craniovertebral fractures (occiput-C1-C2), 40 of these had associated fractures and/or dislocations or subluxations elsewhere in the spine. This rather common occurrence, one of four, has not been emphasized in the recent literature, indicating that the radiologic examination should not stop after the craniovertebral fracture is identified. Furthermore, in 13 patients, neurol...

SSEOUS BRIDGING beneath the anterior 0 spinal ligament is a feature of ankylosing spondylitis ( A S ) . When extensive this is usually associated with ankylosis of the apophyseal joints, resulting in a poker spine, or virtually complete fusion of the bony structures In 2 such cases, rupture or fracture of a calcified anterior thoracic ligament occurred following automobile accidents.l In each i...

 It has been reported that fractures are more common in epileptic patients relative to the general population. Seizures by repeated muscular contractions can increase fracture risk throughout the skeleton, but the reported papers about non traumatic vertebral fractures following a single episode of seizure are rare and mostly located in thoracic spine with only one or two vertebral fr...

Tumours of the thoracic spine . . . . . . . . . . . e169 Extradural haematoma . . . . . . . . . . . . . . . e171 Spinal cord herniation . . . . . . . . . . . . . . . . e173 Thoracic spinal canal stenosis . . . . . . . . . . . e173 Chest deformities . . . . . . . . . . . . . . . . . . e173 Fracture of a transverse process . . . . . . . . . . e179 Spinal infections . . . . . . . . . . . . . . . ....

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...

Introduction. Sternal fractures often occur together with serious and life-threatening additional injuries. This retrospective study was designed to assess concomitant injuries and develop a correlation between fracture location and the severity of injury. Methods. All patients (n = 58) diagnosed with a fracture of the sternum by means of a CT scan were analysed with respect to accident circums...

The clay-shoveler's fracture is an isolated avulsion fracture of the lower cervical or upper thoracic spinous process. Among them, multiple spinous process fractures are very rare. We present 34-year-old male patient who have multiple spinous process fractures with twelve contiguous levels of cervico-thoracic spine (from C4 to T8) after motorcycle accident. This case is multiple isolated spinou...