Thoracic spinal cord injury without spine fracture in an adult: Case report and literature review

Hirsh, Leonard F.; Duarte, Luis E.; Wolfson, Eric H.

doi:10.1016/0090-3019(93)90167-y

Cited by 24 publications

(15 citation statements)

References 22 publications

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“…There is only one case of SCI-WORA reported in the surgical literature affecting the adult spine. 5 In this patient, myelography demonstrated gross leakage of contrast and a subsequent CT scan suggested rupture of the cord, confirmed on MRI which also showed an interspinous ligamentous injury. In the conscious patient, pain or neurological symptoms will suggest the possibility of injury to the cervical spine.…”

Section: Discussionmentioning

confidence: 95%

Injury to the spinal cord without radiological abnormality (SCIWORA) in adults

Kothari

Freeman

Grevitt

et al. 2000

The Journal of Bone and Joint Surgery. British volume

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Injury to the spinal cord without radiological abnormality often occurs in the skeletally immature cervical and thoracic spine. We describe four adult patients with this diagnosis involving the cervical spine with resultant quadriparesis. The relevant literature is reviewed. The implications for initial management of the injury, the role of MRI and the need for a high index of suspicion are highlighted.

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Section: Discussionmentioning

confidence: 95%

Injury to the spinal cord without radiological abnormality (SCIWORA) in adults

Kothari

Freeman

Grevitt

et al. 2000

The Journal of Bone and Joint Surgery. British volume

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“…12 In pediatric cases, the incidence of thoracic spinal cord injury is also extremely rare; however, once it occurs, thoracic spinal cord injury without radiological abnormalities is not rare. 13 Children's ligaments and facet joints are immature in strength and development, which can allow for subluxation without the development of bony fractures. 13 Thoracic spinal cord injury in adult cases is usually induced by thoracic spinal fracture and/or dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…13 Children's ligaments and facet joints are immature in strength and development, which can allow for subluxation without the development of bony fractures. 13 Thoracic spinal cord injury in adult cases is usually induced by thoracic spinal fracture and/or dislocation. 1,10,11 Concerning thoracic spinal cord injury without bony fractures in adult patients aged 20 years or older, four cases out of 10 have had underlying pre-existing bony pathologies [12][13][14][15][16] (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…13 Thoracic spinal cord injury in adult cases is usually induced by thoracic spinal fracture and/or dislocation. 1,10,11 Concerning thoracic spinal cord injury without bony fractures in adult patients aged 20 years or older, four cases out of 10 have had underlying pre-existing bony pathologies [12][13][14][15][16] (Table 1). One possible mechanism of spinal cord injury without bony fractures or dislocation due to minor trauma, such as a fall, involves pre-existing OPLL and OLF in which the level of spinal canal stenosis at thoracolumbar lesions might be important.…”

Section: Discussionmentioning

confidence: 99%

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A case of paraparesis with thoracic ossification of the posterior longitudinal ligament and the ligamentum flavum induced by falling down on the abdomen

Nagayama

Yanagawa

Okuda

et al. 2013

Acute Medicine & Surgery

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Aim:To describe an educational case. Methods: Case report. Results: A 71-year-old female was transported to our emergency department with complaints of lower abdominal pain and gate disturbance after falling down on her abdomen. She had lower abdominal painful paresthesia in the dermatome from the twelfth thoracic to the first lumbar level without signs of peritoneal stimulation. Paraparesis and dysesthesia of the lower extremities was predominant on the left side. Abdominal computed tomography revealed severe thoracic ossification of the posterior longitudinal ligament and the ligamentum flavum at the thoracic level 10/11. Laminectomy and spinal fusion with rods resulted in recovery of the patient's symptoms. Conclusion:Physician should pay attention to thoracic spinal cord injury induced by hyperextensive stress on the spine, even in cases of minor trauma, among patients with preexisting bony pathologies at the thoracolumbar level.

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“…In contrast to the cervical spine and lumbar spine, the thoracic spine is biomechanically stable because it is supported by costovertebral articulations and the rib cage [4,5]. Therefore, thoracic spinal cord injury without major bone injury is uncommon [6e8].…”

Section: Introductionmentioning

confidence: 99%