A case of successful surgical treatment of thoracic spine traumatic injury with TX vertebra unstable penetrating compression-comminuted fracture
Keywords:thoracic spine, compression-comminuted fracture of the vertebra, reconstructive-stabilizing surgery, plastic of spinal dura defect
Clinical case of surgical treatment of thoracic spine traumatic injury with unstable penetrating compression-comminuted fracture of TX vertebra, spinal canal and roots compression without injury of motor areas and sensitivity is given. Features of the traumatic factor were analyzed. The algorithm used, instrumental methods and operation performing are described.
To clarify the nature of thoracic spine injury without clinical signs of spinal cord lesion we used spiral computed tomography, it’s results complemented spondylography data. This allowed to detail the nature of dural sac compression, and to define features of further surgical tactics.
For posterior spine stabilization we used system of screws by Medtronic Sofamor Danec BASIS (USA), which was installed from the posterior-side approach, allowing to provide decompression of roots at damaged segment, ventral compression of dual sac by vertebra fragments was achieved by spine distraction using system for pedicle fixation. Composite adhesive DuraSeal using let us effectively eliminate defect of the spinal dura doubling into intervertebral foramen region.
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Copyright (c) 2014 Volodymyr Reznichenko, Yuri Senchik, Evgen Chernysh
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