Background: Thoracolumbar spinal fractures include a range of injuries of various severities from simple apophysealfractures to neurological injury and complex fractures associated with vertebral dislocation. The treatment ofthoracolumbar fractures is challenging, especially due to the difficulty of evaluating the posterior ligamentous complex(PLC). The purpose of this study w...

acute injuries of the spine and spinal cord are among the most causes of severe disability and death after trauma. data about spine fracture with or without cord damage are different. the aim of this study was to determine epidemiology and demographics of spinal injury in main trauma center, guilan, an iranian province. the present study was a descriptive study of all cases of traumatic spine i...

Thoracolumbar spine trauma typically occurs when high-energy forces damage bony and ligamentous spinal structures and, in severe cases, the spinal cord. These injuries often cause considerable neurological deficits as a result of the damage. Computed tomography (CT) is the imaging method of choice for determining injury severity in most victims of multiple trauma. In addition to describing vari...

Complete thoracolumbar trauma evaluation incorporates radiographs, computed tomography, and magnetic resonance imaging. Primarily to localize the level of injury, diagnosis of thoracolumbar spine trauma begins with radiographs. Computed tomography with sagittal reformatted images is more sensitive for identifying the full extent of injury and the degree of involvement of the bony posterior elem...

The care of patients with thoracolumbar spine trauma with or without neurologic deficits has evolved dramatically over the past 20 years with the emergence of tertiary-care spinal injury centers and the development of more effective spinal instrumentation and anesthesia techniques. Despite these advances, the majority of patients with thoracolumbar injuries are still treated nonoperatively with...

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...

BACKGROUND There were higher numbers of tertiary blast injuries from terrorist bombing in southern Thailand. There was no previous report about spinal trauma in tertiary blast injury. MATERIAL AND METHOD Between January 2007 and December 2007, there were 100 Thai military personnel injured in combat and 18 cases were classified to tertiary blast injury (type III). Six patients with spine and ...

Blunt abdominal aortic injury is an infrequent occurrence after blunt trauma. The majority of these injuries result from deceleration forces sustained in motor vehicle collisions. Effects of these forces on the thoracic aorta are well described, but associated spinal compression or distraction can also lead to injury of the affixed abdominal aorta. We present a case of multifocal blunt thoracic...

Any 14 Cervical spine 40 Thoracic spine 10 Thoracolumbar junction 35 Lumbar spine 3 A patient with serious multiple injuries is rarely able to provide a coherent history. Injuries that carry a risk of death or severe disability must, therefore, be suspected from the outset so that correct early management can be instituted. Any patient with trauma who is not fully conscious should be assumed to...

In thoracolumbar spinal fractures with posterior column injury for applying proper management, it is important to distinguish a flexion-distraction injury (FDI) from a three column burst fracture (BF) as in clinical examination, both may have a similar significant tenderness on direct spinal palpation. Careful attention to the comprehensive clinical examination and detailed imaging features are...