Background: Post-surgical infections of the spine occur in from 0% to 18% of cases. Postoperative spine infections due to Clostridium Perfringens (CP) resulting in necrotizing fasciitis are extremely rare. However, since they may be fatal, early and definitive treatment is critical. Case Description: A 62-year-old male with a T8-T9 Type C fracture, in ASIA Grade “E” (neurologically intact) underwent a posterior T6-T10 arthrodesis. However, 2 weeks postoperatively, he developed a postoperative thoracic wound infection; the cultures were positive for CP. As the patient developed necrotizing fasciitis, emergent debridement, negative pressure continued drainage, and initiation of appropriate antibiotic therapy were critical. Conclusion: Postoperative spinal infections due to CP with accompanying necrotizing fasciitis are extremely rare. As these infections may be fatal, they must be rapidly diagnosed and treated.
Subaxial cervical spine traumatic injuries represent a problem with high medical, social, and economic impact for health systems which is increasing with changes in the increasingly urbanized lifestyle, therefore, the use of diagnostic tools in a protocolized way, correct clinical assessment, multidisciplinary management, and adequate treatment by the spine specialist doctor have a positive impact in the short and long term. Considering the challenge of always having a spine surgeon available, a narrative review of the literature in the databases Google Academic, PubMed, with MeSH terms: Cervical spine, Spinal Injuries, ligament injury, Vertebral artery injury, Subaxial cervical spine injury classification system, is performed as an aid for the first contact physicians, allowing them to optimize resources, materials and diagnostics, to positively impact on the reduction of complications due to failure to detect traumatic injuries of the subaxial cervical spine.
Introduction: Giant spinal thoracic dumbbell schwannoma is a benign tumor extremely rare in pediatric age, which may be associated with neurofibromatosis. Case description: A 14-year-old girl who presented paresthesia in the lower extremities and back pain of 6 months onset, with 2 weeks of neurological deficit progression, associated with clinical data of neurofibromatosis. Posterior total excision was performed in a single surgery with transpedicular instrumentation without complications. Conclusion: This is the second case of type IVb pediatric thoracic giant spinal schwannoma reported, and the largest extracted by single posterior route in a single surgical time without complications.
INTRODUCTIONCervical traumatic hernias without bone injury or dislocation, are a relatively rare pathology occur in 1.45% of cases of cervical trauma, most cases are diagnosed early by the mechanism suggested by the type of lesion or signs and symptoms of acute neurological alterations. 1 Additionally, cervical neurological injury has also been related to facial trauma, this association occurs in 0.01-3%. With a higher incidence in car accidents involving cyclists, when facial fractures occur, the risk of having a hidden cervical injury increase, the mechanism of trauma and cervical imaging should be carefully evaluated for early diagnosis. 2,3
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