COMPRESSION FRACTURES OF THORACIC VERTEBRAE APPARENTLY RESULTING FROM EXPERIMENTAL IMPACT, A CASE REPORT

1965 ◽  
Author(s):  
John H. Henzel ◽  
Neville P. Clarke ◽  
George C. Mohr ◽  
Jr Weis ◽  
Edund B.
Keyword(s):  
Case Report ◽  
Thoracic Vertebrae ◽  
Compression Fractures

scholarly journals Case report: lumbal spine compression fractures in spondylolisthesis modified chairback orthosis

Ankara Sa ◽  
2014 ◽  
pp. 029-036
Author(s):  
Serap ALSANCAK ◽  
Senem GÜNER ◽  
Haydar ALTINKAYNAK
Keyword(s):  
Case Report ◽  
Compression Fractures ◽  
Lumbal Spine

scholarly journals FEATURES OF THE DIAGNOSIS OF UNCOMPLICATED COMPRESSION FRACTURE OF THE THORACIC SPINE IN CHILDREN

2019 ◽  
Vol 20 (5) ◽  
pp. 307-311
Author(s):  
Yakhya M. Yakhyaev ◽  
M. I. Izrailov ◽  
V. N. Merkulov ◽  
A. M. Aliskandiev ◽  
T. Ya. Yakhyaeva
Keyword(s):  
Thoracic Spine ◽  
Compression Fracture ◽  
Diagnostic Process ◽  
Vertebral Compression Fractures ◽  
Thoracic Vertebrae ◽  
Healthy Children ◽  
X Ray ◽  
Compression Fractures ◽  
Fractures In Children ◽  
Ct And Mri

X-ray diagnostics of compression fractures of bodies of the thoracic vertebrae in children not seldom causes great difficulties due to the fact that even in healthy children vertebrae have a number of features, particularly, the wedge shape. For the purpose of differential diagnosis there was performed chest X-ray examination of the thoracic vertebrae in healthy children and cases after the compression damage. The wedge index and the disk coefficient for various segments of the thoracic spine were calculated. The diagnostic efficiency of radionuclide studies was estimated to reaches 79%. The useof highly informative modern medical techniques (CT and MRI) in the diagnosis of vertebral compression fractures in children allows accurately and timely make the diagnosis and determine the condition of the surrounding tissues. Based on the analysis of medical records, radiographs, identification of options of radionuclide, CT and MRI studies, there was elaborated an algorithm for the diagnosis of compression fractures of vertebrae, which allowed optimize the diagnostic process. There are determined advantages of this algorithm.

scholarly journals Cervical Spondylitis and Epidural Abscess Caused by Brucellosis: a Case Report and Literature Review

Folia Medica ◽  
2016 ◽  
Vol 58 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Hatice Reşorlu ◽  
Suzan Saçar ◽  
Beşir Şahin Inceer ◽  
Ayla Akbal ◽  
Ferhat Gökmen ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Epidural Abscess ◽  
Rare Complication ◽  
Cervical Region ◽  
Thoracic Vertebrae ◽  
Systemic Involvement ◽  
Lower Back ◽  
Success Of Treatment

AbstractBrucellosis is a zoonotic disease widely seen in endemic regions and that can lead to systemic involvement. The musculoskeletal system is frequently affected, and the disease can exhibit clinical involvements such as arthritis, spondylitis, spondylodiscitis, osteomyelitis, tenosynovitis and bursitis. Spondylitis and spondylodiscitis, common complications of brucellosis, predominantly affect the lumbar and thoracic vertebrae.Epidural abscess may occur as a rare complication of spondylitis. Spinal brucellosis and development of epidural abscess in the cervical region are rare. Development of epidural abscess affects the duration and success of treatment. Spinal brucellosis should be considered in patients presenting with fever and lower back-neck pain in endemic regions, and treatment must be initiated with early diagnosis in order to prevent potential complications.

scholarly journals Case Report: Multiple Vertebral Compression Fractures in 14-Year-Old Children With Multiple Myeloma

2021 ◽  
Vol 11 ◽  
Author(s):  
Xia Wang ◽  
He He ◽  
Mei Zhang ◽  
Chuan Li ◽  
Chengyao Jia
Keyword(s):  
Multiple Myeloma ◽  
Bone Marrow ◽  
Case Report ◽  
Plasma Cells ◽  
Vertebral Compression Fractures ◽  
Good Clinical Response ◽  
Hematopoietic Stem ◽  
Compression Fractures ◽  
Clonal Proliferation ◽  
Chinese Case

Multiple myeloma (MM) is a neoplastic disorder characterized by clonal proliferation of malignant plasma cells derived from B cells in bone marrow. Pediatric MM is rare with only approximately 0.3% of cases diagnosed before the age of 30. In this report, we present a 14 years old boy diagnosed as MM with multiple pathologic vertebral fractures. To our knowledge, our patient is the youngest Chinese case in the literature to present with MM. He was treated with bortezomib, dexamethasone, and cyclophosphamide followed by autologous hematopoietic stem cell transplantation with good clinical response. We hope to aid in the understanding of the pathophysiology and management of this condition.

scholarly journals Kyphoplasty for the Treatment of Vertebral Compression Fractures in a Cancer Patient with Neurological Deficits and Anterior Vertebral Wall Destruction

2011 ◽  
Vol 6;14 (6;12) ◽  
pp. 539-544
Author(s):  
Sang Sik Choi
Keyword(s):  
Case Report ◽  
Bone Cement ◽  
Tumor Metastasis ◽  
Balloon Kyphoplasty ◽  
Neurological Deficits ◽  
Vertebral Compression Fractures ◽  
Injection Technique ◽  
Lower Extremity Weakness ◽  
Compression Fractures ◽  
Cement Injection

Background: Percutaneous balloon kyphoplasty is an effective, minimally invasive procedure that is used to relieve pain and stabilize spine fractures caused by severe osteoporosis or osteolysis due to tumor metastasis. However, there remains a risk of bone cement leakage during and after kyphoplasty, especially in cases with severe vertebral wall destruction or neurological deficits. Objective: This article presents a case in which kyphoplasty was used to manage these complications in a woman with vertebral compression fractures caused by tumor metastasis. Design: Case report. Setting: Pain management clinic. Methods: The patient was a 76-year-old woman who had severe low back pain, lower extremity weakness, and cauda equina syndrome because of vertebral compression fracture and spinal metastasis with epidural involvement. The patient had a large bony defect in the vertebra that the bone filler device could pass freely through the anterior body wall. Nevertheless, kyphoplasty was successfully performed by using our new cement injection technique, which is a slow injection of the highly viscous bone cement, followed by a second injection 10 minutes later to allow the previously injected cement to harden. Results: The procedure significantly alleviated all symptoms. The day after the procedure, in the absence of additional pain medication, the pain had dropped dramatically to a numerical rating scale 3-4, and there was an improvement in motor function that allowed the patient to sit and go to the bathroom by herself. In addition, the voiding sensation had returned, which allowed the patient to defecate and urinate normally. Limitations: This report describes a single case report. Conclusion: Our new cement injection technique may allow balloon kyphoplasty to be safely and effectively performed in cancer patients with pathological vertebral compression fractures, even if there are large defects in the anterior vertebral wall and neurological deficits. Key words: Compression fractures, kyphoplasty, metastasis, neurological deficits, osteolysis, polymethylmethacrylate.

scholarly journals Anesthetic Management of an Orange-Spined-Hairy-Dwarf-Porcupine (Sphiggurus villosus) Undergoing Myelography

2016 ◽  
Vol 44 (1) ◽  
pp. 4
Author(s):  
Maria Eduarda Baier ◽  
Nelson Junior Tagliari ◽  
Bruna Zafalon Da Silva ◽  
Paula Cristina Sieczkowski Gonzalez ◽  
Marcelo Meller Alievi ◽  
...  
Keyword(s):  
Case Report ◽  
Rectal Temperature ◽  
Measurement Techniques ◽  
Face Mask ◽  
Spinal Trauma ◽  
Thoracic Vertebrae ◽  
Inhalation Anesthesia ◽  
Arterial Blood ◽  
Cord Injury ◽  
Range Of Values

 Background: The orange-spined hairy dwarf porcupine (Sphiggurus villosus) is a mammal that belongs to the rodentia order. Accidents involving this porcupine and dogs have become usual in some cities of Brazil. Dog bites may eventually result in spinal injuries. When there is clinical evidence of spinal cord injury, a myelography under general anesthesia may be required to allow identification of the exact location of the injury. To the authors’ knowledge, there is only one case report about anesthesia in Sphiggurus villosus where dissociative anesthesia was employed. This paper describes one case report of inhalation anesthesia with isoflurane in a Sphiggurus villosus undergoing myelography.Case: A 1.6 kg orange-spined hairy dwarf porcupine, with a history of dog bite was referred to the Veterinary Hospital of the University. On clinical examination, the patient was in good physical condition, alert, with an approximately 1-cm injury near the 10th and 11th thoracic vertebrae. Nociception in pelvic limbs was present whereas proprioception was absent. Radiographic examinations were suggestive of vertebral dislocation and fracture between the 10th and 11th thoracic verte­brae. A myelography was then requested by the responsible veterinarian. The porcupine received intramuscular midazolam (0.5 mg/kg) in combination with meperidine (10 mg/kg) as premedication. Anesthesia was induced and maintained with isoflurane in 100% oxygen via a face mask connected to a non-rebreathing circuit. Monitored variables at 5-min intervals included: pulse rate (PR) and systolic arterial blood pressure (SAP) measured by a Doppler ultrasound with its probe positioned at the palmar metacarpal artery; pulse oximetry (SpO2) measured by a sensor positioned at the tarsus; rectal temperature; and respiratory rate (RR). During the myelography, the range of values for the above mentioned variables were: PR, 189-206 beats/min; SAP, 90-130 mmHg; SpO2, 94-96%; RR, 32-40 breaths/min; and rectal temperature decreased by 0.5oC. Anesthetic recovery was uneventful. Postoperative pain relief was achieved with intramuscular tramadol (5 mg/kg).Discussion: To the authors’ knowledge, this is the first case report of inhalation anesthesia in a Sphiggurus villosus speci­men. In a previous case report, other authors described anesthesia for myelography in a porcupine with IM tiletamine/ zolazepam (5 mg/kg). In the case reported here, dissociative anesthetics, such as tiletamine, were avoided because these agents may increase intracranial pressure, cerebral blood flow and cerebrospinal fluid pressure, which are undesirable in patients with spinal trauma. Although physiologic variables were considered to be stable during anesthesia with isoflurane in this report, these findings have to be interpreted carefully. First, normal range of values for physiologic variables has not been reported for porcupines. Second, accuracy of the measurement techniques used (e.g. noninvasive measurement of SAP) has not been validated. Under the conditions reported in this case report, premedication with meperidine and mid­azolam was effective to induce good muscle relaxation and allowed anesthetic induction with isoflurane via a face mask. This anesthetic protocol provided adequate conditions for performing the myelography in a porcupine and physiologic variables remained stable throughout the procedure.Keywords: rodents, anesthesia, spinal trauma.

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