Thoracic fracture-dislocation without spinal cord injury: case report and literature review
Fractura-luxación torácica sin lesión medular: caso clínico y revisión bibliográfica
Ma.J. Herguido, F. Alvarez, J.M. Roda
Servicio de Neurocirugía, Hospital Universitario “La Paz”. Paseo de la Castellana, 261. 28046 Madrid
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"apellidos" => "Roda" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital Universitario “La Paz”. Paseo de la Castellana, 261. 28046 Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fractura-luxación torácica sin lesión medular: caso clínico y revisión bibliográfica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163249" "palabras" => array:4 [ 0 => "Fracture-dislocation" 1 => "Thoracic spine" 2 => "Surgical treatment" 3 => "Anterior spinal fusiono Kaneda antero-lateral spinal system" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163248" "palabras" => array:5 [ 0 => "Fractura-Luxación" 1 => "Columna torácica" 2 => "Tratamiento quirúrgico" 3 => "Artrodesis anterior" 4 => "Sistema de instrumentación vertebral antero-lateral de Kaneda" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Fracture-dislocations of the spine represent the most unstable spinal injury, and they are often associated with severe neurological compromise. We report the case of a patient who was involved in a motorcycle accident, after which, no neurological deficit could be found. A severe fracture-dislocation of T8-T9 was diagnosed. The patient was operatively treated with a T8-T9 corpectomy, placement of an iliac bone graft and stabilization using the Kaneda antero-lateral spinal system. Complete reduction was archieved without neurological sequelae. The injury and neural sparing production mechanisms, as well as, the surgical treatment advantages and indications are discussed.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Las fracturas-luxación de la columna vertebral son las más inestables de todas las lesiones espinales, asociándose habitualmente a severo compromiso neurológico. Se presenta el caso de un paciente, que tras sufrir un accidente de motocicleta, del que resultó neurológicamente ileso, fue diagnosticado de una fractura-luxación T8-T9. Se intervino quirúrgicamente realizándose corporectomía de T8 y T9, y estabilización de injerto tricortical de cresta ilíaca con el sistema de Kaneda de instrumentación vertebral, lográndose una reducción completa de la fractura sin secuelas. Se discuten el mecanismo de la lesión y de la preservación neurológica, así como, las ventajas e indicaciones del tratamiento quirúrgico.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Herguido, Mª.J.; Alvarez, F.; Roda, J.Mª.: Thoracic fracture- dislocation without spinal cord injury: case report and literature review. Neurocirugía 1998; 9: 44–48.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 6 | 2 | 8 |
| 2018 March | 0 | 2 | 2 |
| 2018 February | 7 | 11 | 18 |
| 2018 January | 9 | 13 | 22 |
| 2017 December | 9 | 14 | 23 |
| 2017 November | 38 | 10 | 48 |
| 2017 October | 7 | 13 | 20 |
| 2017 September | 10 | 11 | 21 |
| 2017 August | 8 | 12 | 20 |
| 2017 July | 6 | 7 | 13 |
| 2017 June | 12 | 11 | 23 |
| 2017 May | 10 | 9 | 19 |
| 2017 April | 6 | 9 | 15 |
| 2017 March | 4 | 7 | 11 |
| 2017 February | 4 | 17 | 21 |
| 2017 January | 12 | 8 | 20 |
| 2016 December | 23 | 21 | 44 |
| 2016 November | 17 | 28 | 45 |
| 2016 October | 22 | 18 | 40 |
| 2016 September | 28 | 20 | 48 |
| 2016 August | 40 | 22 | 62 |
| 2016 July | 28 | 21 | 49 |
| 2015 December | 2 | 0 | 2 |
| 2015 September | 1 | 0 | 1 |
| 2015 July | 1 | 6 | 7 |
| 2015 June | 11 | 12 | 23 |
| 2015 May | 22 | 24 | 46 |
| 2015 April | 16 | 33 | 49 |
| 2015 March | 17 | 40 | 57 |
| 2015 February | 14 | 39 | 53 |
| 2015 January | 9 | 40 | 49 |
| 2014 December | 15 | 23 | 38 |
| 2014 November | 18 | 17 | 35 |
| 2014 October | 14 | 28 | 42 |
| 2014 September | 12 | 34 | 46 |
| 2014 August | 17 | 45 | 62 |
| 2014 July | 14 | 35 | 49 |
| 2014 June | 22 | 33 | 55 |
| 2014 May | 20 | 33 | 53 |
| 2014 April | 16 | 31 | 47 |
| 2014 March | 19 | 30 | 49 |
| 2014 February | 22 | 38 | 60 |
| 2014 January | 22 | 38 | 60 |
| 2013 December | 17 | 26 | 43 |
| 2013 November | 19 | 23 | 42 |
| 2013 October | 23 | 26 | 49 |
| 2013 September | 21 | 27 | 48 |
| 2013 August | 18 | 31 | 49 |
| 2013 July | 25 | 25 | 50 |
| 2013 June | 18 | 25 | 43 |
| 2013 May | 6 | 24 | 30 |
| 2013 April | 15 | 32 | 47 |
| 2013 March | 14 | 25 | 39 |
| 2013 February | 11 | 31 | 42 |
| 2013 January | 14 | 27 | 41 |
| 2012 December | 11 | 21 | 32 |
| 2012 November | 0 | 12 | 12 |
| 2012 October | 0 | 2 | 2 |
| 2012 September | 0 | 1 | 1 |
| 2012 January | 9 | 0 | 9 |
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