Thoracic spine fracture-dislocation

Case contributed by Assoc Prof Craig Hacking

Presentation

High speed MBA (200km/hr drag race).

Patient Data

Age: 45 years
Gender: Male

T11/T12 lateral dislocation. Left hemithorax opacification likely due to hemothorax. No pneumthorax or rib fracture.

T11/12 dislocation.

Case Discussion

CT confirmed fracture-dislocation through T11 and the T11/12 disc space. MRI showed transection of the cord.

The patient was paraplegic at presentation. The dislocation was reduced and posterior stabilization performed.

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