The thoracolumbar junction is the of thoracic and lumbar spine subjected to high biomechanical stress. With rapid development society, morbidity increases every year. Thoracolumbar fracture may affect stability even result in paralysis via compression spinal cord. As a advancements modern medicine, theoretical practical aspects concerning have made great progress. However, due complexity fractu...

Polytrauma is a syndrome with multiple injuries of defined severity. Patients with chest injuries have a higher possibility to have a spine trauma. In patient with vertebral fracture the prevalence of concomitant thoracic injuries is 2.9%. Thoracic trauma is a common cause of morbidity and mortality in polytraumatized patient and acute spinal cord injury is one of the most causes of disability ...

This study explored inter-relationships between vertebral fracture, thoracic kyphosis and trunk muscle control in elderly people with osteoporosis. Osteoporotic vertebral fractures are associated with increased risk of further vertebral fractures; but underlying mechanisms remain unclear. Several factors may explain this association, including changes in postural alignment (thoracic kyphosis) a...

OBJECTIVE There is widespread belief among doctors that posterior midline tenderness is virtually a prerequisite for spinal fracture in alert, sober patients without any painful distracting injury or neurological deficit. This paper examines and challenges this belief. METHODS AND RESULTS We present three patients in whom significant thoracic and lumbar vertebral fractures were missed, or wer...

Chylothorax is a rare complication of blunt chest trauma and is associated with fracture-dislocation of the thoracic spine in only 20% of these cases. Two cases of chylothorax after blunt chest injury are described in this paper; 1 was related to a fracture of the third thoracic vertebra. Closed chest drainage and total parenteral nutrition led to resolution of the condition within 3 weeks in b...

BACKGROUND Chylothorax is a rare form of pleural effusion that can be associated with both traumatic and non-traumatic causes. Thoracic duct ligation is often the treatment of choice in postsurgical patients; however the optimal treatment of this disease process after traumatic injury remains unclear 1. We present a rare case of a thoracic duct injury secondary to a blunt thoracic spine fractur...

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 ...

OBJECTIVE We hypothesized that lung injury and rib cage fracture quantification would be associated with adverse outcomes. SUBJECTS AND METHODS Consecutive admissions to a trauma center with Injury Severity Score ≥ 9, age 18-75, and blunt trauma. CT scans were reviewed to score rib and sternal fractures and lung infiltrates. Sternum and each anterior, lateral, and posterior rib fracture was s...

A 66-year-old man with a history of ankylosing spondylitis presented to the emergency department as a trauma activation after a fall backward onto his sacrum from the bottom rung of a ladder. He initially complained of neck pain. On physical examination, midline lower cervical spine tenderness to palpation was present, but careful neurologic examination revealed no deficits. A CT scan of the ce...

Vertebral fractures occur with only slight trauma in patients with diffuse idiopathic skeletal hyperostosis (DISH). However, a lumbar vertebra fracture, due to an intraoperative body position has not been previously reported. An 87-year-old woman with kyphosis sustained a left trochanteric fracture of her femur. The patient was placed in a supine position during the operation. Postoperatively, ...