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Schweighofer, F; Hofer, HP; Wildburger, R; Stockenhuber, N; Bratschitsch, G.
Unstable fractures of the upper thoracic spine.
Langenbecks Arch Chir. 1997; 382(1): 25-28. Doi: 10.1007/BF02539304
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Co-authors Med Uni Graz: Bratschitsch Gerhard
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Abstract:: Unstable fractures of the upper thoracic spine are a therapeutic challenge because of the high rate of associated injuries and frequent occurrence of spinal cord lesions. This study focuses on the operative treatment of these injuries. We present nine patients with unstable injuries of the upper thoracic spine. According to the classification of Magerl et al., there are seven type C and two type B fractures. Eight patients had complete transverse lesions of the cord and one had no evidence of spinal cord injury. All patients presented associated injuries: nine patients had fractured ribs, three a fractured sternum and three a severe haemothorax. All underwent operative treatment: six posterior fusions only, two anterior interbody fusions only after thoractotomy owing to severe bleeding from ruptured intercostal arteries, and one a combined fusion after failure of posterior fusion. The treatment of these patients should be individualized, depending on the associated injuries, loss of blood owing to fractured spine and ruptured vessels and depending on the back pain resulting from an unstable thorax. In general, we prefer the posterior approach to unstable fractures of the upper thoracic spine.
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Adult -; Bone Plates -; Female -; Fracture Fixation, Internal - methods; Humans -; Male -; Middle Aged -; Multiple Trauma - classification Multiple Trauma - radiography Multiple Trauma - surgery; Neurologic Examination -; Postoperative Complications - radiography; Spinal Cord Injuries - classification Spinal Cord Injuries - radiography Spinal Cord Injuries - surgery; Spinal Fractures - classification Spinal Fractures - radiography Spinal Fractures - surgery; Spinal Fusion - methods; Thoracic Vertebrae - injuries Thoracic Vertebrae - radiography Thoracic Vertebrae - surgery
Find related publications in this database (Keywords): upper thoracic spine; unstable fractures; stabilization