Spine Thoracic
Traumatic Spondyloptosis of the Thoracolumbar Spine
Posted August 28th, 2008 by MattThe authors described five case studies of patients who suffered traumatic spondyloptosis of the thoracolumbar junction. This is a rare but severe injury. There is complete fracture dislocation of the spine. These injuries have the highest association with spinal cord injury of all fracture types. The thoracolumbar junction is involved in 15 percent of all spinal cord injuries. Three of the five patients were involved in high speed motor vehicle crashes.
Is it OK to have a significant kyphosis where my spine was fractured two years ago?
Posted August 7th, 2008 by MattA significant kyphosis following spinal injury is called posttraumatic spinal deformity. Kyphosis is the most common of the deformities. Studies show that a kyphosis equal to or greater than 30 degrees is more likely associated with chronic pain and potential increase in neurological symptoms.
J. M. Buchowski et al. Surgical management of posttraumatic thoracolumbar kyphosis.SPINE July 2008. Voume 8. Number 4. Pp. 666-677.
Surgical Management of Posttraumatic Thoracolumbar Kyphosis
Posted August 7th, 2008 by MattThe authors reviewed available literature regarding current treatment methods for posttraumatic thoracolumbar deformity. In the United States alone, 10,000 to 17,000 people will have a spinal cord injury annually. Those that fracture their spine exceed 150,000 annually. As a result of improved medical care, more people are surviving these injuries. Disruption of the vertebral column and supporting ligamentous structures can result in posttraumatic spinal deformity.
Thorasic Compression Fractures
Posted June 3rd, 2008 by alpharipperI had a work place place accident in Feb 07. Smashed my mouth, teeth and r/ Knee. I fell from a bulldozer and put my head into a steal step, knocked out, and suffered a lot of pain in the back middle and lower.
My doctor put this down to whiplash and after some many months, it started to go away. I had an op on the knee and whilst on light duties was made to baen and grind for many hours.
I felt my back spasm a number of times and stiffen. I could not walk for nearly two months after this.
Our nephew was in a terrible motorcyle and broke the middle of his spine in half. He had a six-hour surgery to put screws in place to hold the spine upright while it heals. He's up walking already and not even using a brace. We're more than a little concerned about this. Shouldn't he have some kind of external support?
Posted May 29th, 2008 by MattReduction and fixation of spinal fractures in the thoracic spine can be a very complex procedure. Sometimes the facet (spinal) joints get disrupted overlap one another. They must be distracted, unlocked, and repositioned.
To do this, the surgeon can place screws through the pedicles of the vertebrae. The pedicle is the area of vertebral bone between the upper facet of one spinal segment and the lower facet joints of the adjacent spinal segment.
Surgical Treatment of Unstable Thoracic Spine Injuries
Posted May 29th, 2008 by MattSevere injuries to the thoracic spine occur with some car accidents. These high-energy injuries cause significant trauma to the spine. Surgery is needed to restore the vertebrae to a stable position. A major goal of treatment is to foster as much neurologic recovery as possible. In some cases, preventing paralysis may not be possible.
I was in a car accident and fractured my thoracic spine in two places. I've been trying to get by without surgery, but I notice the pain is getting worse and so is my posture. Should I wait and see if this is going to get better? Or should I go for the surgery originally recommended by the doctor on call at the hospital where I went at the time of the accident?
Posted May 15th, 2008 by MattPersistent pain, deteriorating neurologic status, or residual deformity all point to the need for follow-up care. Surgery to stabilize the spinal segment may be needed, but it's possible an orthosis (trunk and back brace) will be enough.
My mother's doctor wants to inject her back with medication with an epidural injection to help relieve her back pain. I'm really worried about the potential problems. What can go wrong?
Posted May 15th, 2008 by MattIf your mother is living with chronic back pain and has received other types of treatments that haven't helped, it's not unusual for her doctor to suggest this type of injections. For some people and for certain types of back pain, they can be very effective.
Like all medical procedures, epidural injections do have some risks. They include:
- infection at the site of the injection (rare)
Case study of Patient with Giant Spiral Arachnoid Cyst Following Phenol Intrathecal Injection
Posted May 15th, 2008 by MattIntrathecal injection of alcohol or phenol has been an effective pain management technique for patients who live with chronic pain. The injection damages the pain pathways, providing pain relief for up to several months. Although injection into the subarachnoid space can provide pain relief in up to 60 percent of patients, epidural injection is often preferred because of the side effects associated with subarachnoid injections.
Thoracic Spine Fracture
Posted February 28th, 2008 by rochejThree years ago I was rowing and the University of San Diego as a Freshman. After my first full year round season I was lifting weights during the off season trying to put weight. Well squating a significant amount of wieght for my body size, 6'4 and thin frame, my entire back gave out and started spasming. That marked the end of my crew career although I did not know it yet. I was treated for several months as just having a sever case of back spasm, but once it did not go away I began looking for other answers. Excactly a year and two months later a dr.
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