Blunt Abdominal Aortic Transection in a Child

Fox, J. T.; Huang, Yong; Barcia, Peter J.; Beresky, Ronald E.; Olsen, David A.

doi:10.1097/00005373-199612000-00020

Cited by 37 publications

(19 citation statements)

References 12 publications

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“…Aortic disruption has been reported after high-energy trauma (13). A thorough literature search found that vascular injury concomitant with thoracolumbar fracture/dislocation was rare (8,20), and we have seen no such case. We perform ultrasound and dynamic plasma d-dimer testing in all cases to exclude vascular injury and preoperative deep venous thrombosis (DVT).…”

Section: Discussionmentioning

confidence: 73%

Single-stage operation for traumatic thoracolumbar fractures with severe dislocation via a posterior approach alone: a case series

Xiong

Li²,

Zhang³

et al. 2012

Turkish Neurosurgery

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AIm: This study reports a technique for treating severe thoracolumbar fractures with single-stage decompression, reduction, reconstruction, and stabilization via an entirely posterior approach. mAterIAl and methOds:The cases of 11 patients with severe traumatic thoracolumbar fractures/dislocations that were managed with single-stage decompression, reduction, reconstruction, and stabilization via an entirely posterior approach were included. Data on age, sex, mechanism of injury, associated trauma, neurological status, surgical technique, and clinical outcome were reviewed retrospectively. results: Of the 11 patients, two presented with primarily coronal displacement and nine with sagittal displacement. Coronal displacement was corrected from 19% preoperatively to 4.0% at the last follow-up evaluation. Sagittal displacement was reduced from 73.0% preoperatively to 3.0% at the last follow-up evaluation. After a mean follow-up period of 20.7 (range 16-30) months, no patient complained of local pain and no significant loss of correction or hardware failure was observed.COnClusIOn: Our experience proves that the single-stage posterior approach is safe and biomechanically reliable for treating severe thoracolumbar fractures/dislocations. Therefore, the presented technique is an alternative approach for this rare injury.KeywOrds: Thoracolumbar fracture, Severe dislocation, Single-stage, Posterior approach ÖZ AmAÇ: Bu çalışma, tamamen posterior bir yaklaşımla tek evreli dekompresyon, redüksiyon, rekonstrüksiyon ve stabilizasyon ile şiddetli torakolumber kırıkları tedavi etmek için bir tekniği bildirmektedir. yÖntem ve GereÇler: Tamamen posterior yaklaşımla tek evreli dekompresyon, redüksiyon, rekonstrüksiyon ve stabilizasyonla tedavi edilen şiddetli travmatik torakolumber kırık/dislokasyonu olan 11 vaka dahil edilmiştir. Yaş, cinsiyet, yaralanma mekanizması, ilgili travma, nörolojik durum, cerrahi teknik ve klinik sonuçlarla ilgili veriler retrospektif olarak gözden geçirilmiştir.BulGulAr: 11 hasta içinde ikisi primer koronal displasman ve dokuzu sajital displasmanla gelmiştir. Sajital displasman preoperatif olarak %19'dan son takip değerlendirmesinde %4,0'a düzeltilmiştir. Sajital displasman preoperatif olarak %73,0'dan son takip değerlendirmesinde %3,0'a düzeltilmiştir. Ortalama 20,7 (aralık 16-30) aylık takip süresiyle hiçbir hasta yerel ağrıdan yakınmamış ve düzeltmede önemli bir kayıp veya donanımla ilgili başarısızlık gözlenmemiştir. sOnuÇ: Deneyimimiz tek evreli posterior yaklaşımın şiddetli torakolumber kırıklar/dislokasyonlar tedavisinde güvenli ve biyomekanik olarak uyumlu olduğunu göstermiştir. Bu nedenle sunulan teknik bu nadir yaralanma için alternatif bir yaklaşımdır.

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Section: Discussionmentioning

confidence: 73%

Single-stage operation for traumatic thoracolumbar fractures with severe dislocation via a posterior approach alone: a case series

Xiong

Li²,

Zhang³

et al. 2012

Turkish Neurosurgery

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“…Since 1966, only 18 cases of blunt abdominal aortic injury have been reported in children [1][2][3][4][5][6]. Most of these injuries occurred in children between the ages of 2 and 13 years with only 2 cases of blunt aortic trauma in children younger than 2 years [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Most of these injuries occurred in children between the ages of 2 and 13 years with only 2 cases of blunt aortic trauma in children younger than 2 years [5,6]. Pediatric abdominal aortic injury affects males more often than females with a ratio of about 3:1 [4].…”

Section: Discussionmentioning

confidence: 99%

“…Damage of the aortic bifurcation itself has been described only in 2 occasions [3,7]. Blunt abdominal aortic trauma in children is a result of motor vehicle crashes, bicycle accidents, falls, and occasionally child abuse [5,8]. The overall and inhospital mortality rates for pediatric blunt abdominal aortic injuries range from 10% to 37 % [4,8].…”

Section: Discussionmentioning

confidence: 99%

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Aortic bifurcation rupture after blunt abdominal trauma in a child: a case report

Blanco

Powell

Guzzetta

et al. 2011

Journal of Pediatric Surgery

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“…1 Descriptions of a total of 21 cases of abdominal aortic trauma in children were published from 1966 to 2012 and most of these cases involved motor vehicle collisions. [2][3][4][5][6][7][8] Clinical presentations ranged from stable and asymptomatic patients to cases with rupture and hypovolemic shock.…”

Section: Introductionmentioning

confidence: 99%

A case study involving a blunt abdominal trauma leading to disruption of the aortic bifurcation in an infant

et al. 2014

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The incidence of aortic disruption secondary to blunt abdominal trauma is rarely reported in the pediatric population. In general, most of the cases described are the result of motor vehicle accidents. We report on the treatment and outcomes of a 5-year-old child with aortic bifurcation disruption secondary to an unusual case of blunt abdominal trauma who was admitted to the emergency room in hypovolemic shock and subjected to immediate exploratory laparotomy and vascular repair. The mechanical forces involved in aortic disruption and the management options for repair and treatment of this injury will be discussed.Keywords: child; wounds and injuries; multiple trauma; abdominal aorta; abdominal injuries; vascular system injuries. ResumoA incidência de ruptura aórtica secundária a um trauma abdominal contuso é uma condição extremamente rara e pouco relatada na população pediátrica. Em geral, a maioria dos casos descritos é devida a acidentes automobilísticos. Descrevemos o caso de uma criança de cinco anos de idade, vítima de trauma abdominal contuso de etiologia incomum, a qual foi admitida em sala de emergência em choque hipovolêmico e submetida a laparotomia exploradora, com o reparo de uma laceração da bifurcação aórtica. Serão discutidas as forças mecânicas envolvidas e as opções de tratamento para esse tipo de lesão.Palavras-chave: criança; ferimentos e lesões; traumatismo múltiplo; aorta abdominal; traumatismos abdominais; traumatismos do sistema vascular.

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Blunt Abdominal Aortic Transection in a Child

Cited by 37 publications

References 12 publications

Single-stage operation for traumatic thoracolumbar fractures with severe dislocation via a posterior approach alone: a case series

Single-stage operation for traumatic thoracolumbar fractures with severe dislocation via a posterior approach alone: a case series

Aortic bifurcation rupture after blunt abdominal trauma in a child: a case report

A case study involving a blunt abdominal trauma leading to disruption of the aortic bifurcation in an infant

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