![]() ![]() Assistance by a thoracic surgeon for exposure is highly recommended.Introduction: CL, aged 12 years and 4 months, suffered multiple thoracic spine fractures in an accident as a rider in motorbike competition reporting T7 body fracture with anterior wedging associated with displaced left pedicle fracture at level of vertebral body- pedicle union, pedicle was displaced inside vertebral canal completely obliterating sub arachnoid space. If a tumor is being evaluated, CT angiography and embolization are helpful in preoperative planning. Preoperative workup should include imaging modalities (plain rontgens, MRI/CT scan) to specifically define the area of decompression. Preservation and protection of the vascular structures in the thoracic cavity is the key to such an exposure. To perform adequate decompression and stabilization of the thoracic spine, obtaining good exposure is a must. ![]() ![]() Burst fractures occur frequently in high energy traumas and are most commonly associated with falling and traffic accidents.Multiple burst fractures occur in 10% of cases, half thereof on noncontiguous levels.Access to the anterior thoracic spine via the transthoracic approach (via thoracotomy) can be used for decompression and fusion. Neurological deficit was highest in patients with burst fractures of the cervical spine, independent of accident mechanism, and lowest in thoracolumbar junction fractures. Main accident mechanisms were falls, traffic, and sports. In 10% of cases,more than one burst fracture was seen, thereof 53% on noncontiguous levels. Altogether, burst fractures have been reported to account for about 15% of spinal injuries.Incidence of burst fractures peaked at the thoracolumbar junction and between levels T5 and T8. Spinal trauma is commonly found in patients admitted to level-one trauma centers after serious accidents like traffic, falling, and sports accidents.Injuries of the cervical spine account for one third of spinal fractures and half to two thirds of all spinal cord injuries.In the thoracolumbar spine, the most common unstable fracture is the burst fracture. Spinal fracture and dislocation are among the most feared injuries by patients and physicians alike, as the consequences can be devastating, ranging from mild pain and discomfort to severe paralysis and even death. BURST FRACTURE, SURGERY, TRANSTHORACAL CORPECTOMY, STABILIZATION AbstractĪbstract. ![]()
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