| Delayed in-situ Fusion of Thoracic Fracture-dislocation in A Case Without Neurologic Deficits |
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Sun Kwon, M.D., Suk-Hyung Kang, M.D., Sang-Ryong Chun, M.D., Sung-Woo Roh, M.D., Seung-Chul Rhim, M.D. |
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Department of Neurosurgery, ASAN Medical Center, College of Medicine, Ulsan University, Seoul, Korea |
| Delayed in-situ Fusion of Thoracic Fracture-dislocation in A Case Without Neurologic Deficits |
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Sun Kwon, M.D., Suk-Hyung Kang, M.D., Sang-Ryong Chun, M.D., Sung-Woo Roh, M.D., Seung-Chul Rhim, M.D. |
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| Abstract |
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Complete fracture-dislocation of the thoracic spine without neurologic deficit is rare condition. We reported one case of thoracic spine injury - complete fracture-dislocation - of T2-3 treated by posterior approach without reduction. A 23-year-old man suffered from back pain after motor cycle accident had no neurologic deficit although radiologic study presented completed dislocation of T2-3. We operated on this patient by posterior instrumentation and fusion without reduction. The status of the patient did not change during operation. Two years after operation, there was no interval change of the alignment of thoracic spine as well as neurologic status. In the follow-up radiologic study, in-situ fusion between the dislocated T2 and T3 occurred. The authors conclude that it may be one option of surgical plan in patients who have no neurologic deficit, that is, posterior fusion without reduction to restore of spinal stability rather than taking risk of further neuronal injury in the processing of alignment reduction. Also, it seems that delayed surgery after the patient's recovery enough to tolerate the operation is reasonable in this situation. |
| Keywords:
Thoracic spine injury.in-situ fusion.Complete fracture-dislocation.Delayed surgery |
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