Aortic Injuries in Thoracolumbar Spine Fracture-Dislocations

Stambough, Jeffery L.; Ferree, Bret A.; Fowl, Richard J.

doi:10.1097/00005131-198909000-00010

Cited by 20 publications

(17 citation statements)

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“…This type of injury consists of a C1.2.4 fracture with vertebral body separation outside the spinal canal according to Magerl's classification [18]. Our case resembled the one described by Stambough et al [30] and Inaba et al's case 3 [17]. Owing to the complexity of the osteo-capsular ligamentous lesions that characterize this type of lesion, it is extremely unstable [22].…”

Section: Discussionsupporting

confidence: 65%

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review

et al. 2011

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To present a rare case of association of abdominal aorta rupture and flexion-distraction fracture of thoracolumbar spine and to review the literature on this condition. In non-penetrating abdominal traumatic injuries with flexion-distraction fractures of the thoracolumbar spine, rupture of the abdominal aorta is an extremely rare occurrence but its outcome is potentially lethal. This association of skeletal and vascular lesions mainly affects young patients and involves the thoraco-lumbar junction and the portion of the aorta that lies in front of it. The authors analyze the pertinent literature and describe a case, operated in two sittings, of a traumatic lesion of the aorta attributable to a fracture of L1, focusing on mechanism of damage, diagnosis and surgical treatment. At 2-year follow-up examination, there were no neurological deficits. A review of the pertinent literature has shown that mortality can be reduced by a meticulous clinical and radiological work-up for a correct diagnosis followed by surgical repair of any damaged vessels. The possibility of performing a rapid diagnosis by means of total-body CT-scan plus CT-angiography allows repair of vascular damage, stabilization of the patient's hemodynamic conditions and, subsequently, surgical treatment of the vertebral fracture.

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Section: Discussionsupporting

confidence: 65%

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review

et al. 2011

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“…Schmidt et al reported their 15-year experience with 80 patients treated for a traumatic aortic tear, and 4 patients had a spine fracture [4]. Stambough et al estimated that less than 1 % of all spinal fractures had significant aortic trauma [5]. The mechanism of this injury has not yet been established.…”

Section: Discussionmentioning

confidence: 99%

“…A false aneurysm and a compressed aortic lumen were demonstrated in the distal descending aorta (Figs. 4,5). No other aortic or other branch injuries were visualized.…”

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confidence: 93%

Acute traumatic injury of the distal descending aorta associated with thoracic spine injury

et al. 1998

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A rare case of traumatic injury of the distal descending aorta associated with thoracic spine injury is reported. A 21-year-old man was admitted after a traffic accident. Thoracic CT and angiography demonstrated a false aneurysm of the distal descending aorta and a compression fracture of the eleventh thoracic vertebra. At emergency surgery, a transverse linear tear at the level of the aortic hiatus was confirmed and repaired.

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“…In addition to spinal cord injury, the close anatomical relationship between the thoracic spine and descending aorta should raise suspicion for acute aortic injury in the context of major trauma to the thoracic spine. [7][8][9] Indeed, thoracic spine fracture dislocations are complicated by traumatic aortic rupture in 1-5% of cases and have an 80-100% risk of mortality. [7][8][9] In our case, there was no aortic injury.…”

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confidence: 99%

Traumatic fracture dislocation of the thoracic spine sparing both the spinal cord and aorta

Zhu

Mannambeth

McGiffin

et al. 2017

ANZ Journal of Surgery

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Traumatic fracture dislocation of the thoracic spine sparing both the spinal cord and aorta A 33-year-old man was involved in a high-speed, motorcycle accident, striking his back on metal railing by the side of the highway. On arrival at our trauma centre, the patient was hypotensive (86/60 mmHg) and tachycardic (110 beats/min). He was fully orientated, with intact power and sensation in all limbs.

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Aortic Injuries in Thoracolumbar Spine Fracture-Dislocations

Cited by 20 publications

References 0 publications

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review

Acute traumatic injury of the distal descending aorta associated with thoracic spine injury

Traumatic fracture dislocation of the thoracic spine sparing both the spinal cord and aorta

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