A Rare Hyperextension Injury in Thoracic Spine Presenting with Delayed Paraplegia

被引：0

作者：

Shin, Dong-Eun ^{[1
]}

Nam, Ki-Sik ^{[1
]}

Yoon, Hyung-Ku ^{[1
]}

Lee, Jun-Ku ^{[1
]}

Cha, Yoon-Sik ^{[1
]}

机构：

[1] CHA Univ, CHA Bundang Med Ctr, Dept Orthopaed Surg, 82 Gumiro 173beon-gil, Seongnam 463707, South Korea

来源：

ASIAN SPINE JOURNAL | 2013年 / 7卷 / 02期

关键词：

Thoracic vertebrae; Paraplegia; Disc herniation;

D O I：

10.4184/asj.2013.7.2.126

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：126 / 130

页数：5

共 29 条

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