Thoracolumbar distraction fractures in advanced pregnancy: a contribution of two case reports

Tanchev, P; Dikov, Dobrin; Novkov, Hariton V.

doi:10.1007/s005860050229

Cited by 13 publications

(8 citation statements)

References 15 publications

(23 reference statements)

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“…Finally, 16 publications reporting on 26 cases were included in the systematic review. Eleven (68.8%) of the included studies had poor methodological quality, while the remaining 5 (31.2%) had moderate methodological quality [2,6,7,9,10,12,[16][17][18][19][20][21][22][23][24][25] (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Obstetric Outcomes of Women Who Sustained Traumatic Spinal Injury during Pregnancy: A Systematic Review

Arsh

Darain

2022

Asian Spine J

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Literature regarding pregnant women who sustained traumatic spinal injury during pregnancy is limited. Existing papers are mainly case reports, and this indicates a need for more high-quality research evidence in this area. Therefore, this study was designed to systematically review available literature that reported demographic information, clinical characteristics, and obstetric outcomes of women who sustained spinal injury during pregnancy. Studies published from the earliest record to January 2019, which reported traumatic spinal injury during pregnancy, were included. Studies that have reported pregnancy in patients with pre-existing spinal injury, review articles, commentaries, letter to editors, conference papers, and studies published in languages other than English were excluded. Sixteen studies reporting on 26 women were included. Their mean age was 26.7±5.5 years. Motor vehicle accidents were the main cause of spinal injury (n=15, 58%). Of the cases, four women sustained spinal injury during the 1st trimester of pregnancy, of which one had a spontaneous abortion, one delivered a baby with arthrogryposis multiplex congenital disorder, and the third one delivered a premature baby who died shortly after the delivery. Fifteen women sustained injury during their 2nd trimester, of which 14 delivered normal babies, while six sustained spinal injury during the 3rd trimester. Of these women, five delivered normal babies at term. Outcomes of pregnancy appear significantly affected if a spinal injury occurs during the 1st trimester of pregnancy; however, injuries sustained during the 2nd and 3rd trimesters can have good obstetric outcomes.

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Section: Resultsmentioning

confidence: 99%

Obstetric Outcomes of Women Who Sustained Traumatic Spinal Injury during Pregnancy: A Systematic Review

Arsh

Darain

2022

Asian Spine J

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“…Spinal fractures associated with spinal cord injuries rarely affect pregnant patients (1)(2)(3)(4)(5)(6) . When such events occur in this population, this generally leads to early termination of the pregnancy, with an unviable fetus.…”

Section: Introductionmentioning

confidence: 99%

Fratura-luxação da coluna torácica durante segundo trimestre da gestação: relato de caso e revisão da literatura

Gotfryd¹,

Franzin²,

Poletto³

et al. 2012

Rev. bras. ortop.

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“…Operative treatment is only recommended in unstable fractures and in cases of incomplete neurological deficit [1]. If possible, surgery can be postponed until delivery of the child [2]. These topics have merely been addressed in case reviews in the current literature.…”

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confidence: 99%

“…To date, only few papers have described treatment modalities for unstable thoracolumbar fractures [2]. Most fractures, however, could be treated conservatively.…”

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confidence: 99%

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Anterior, thoracoscopic-assisted reduction and stabilization of a thoracic burst fracture (T8) in a pregnant woman

et al. 2011

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Injuries of the spine in pregnant women are rare. Unstable fractures, incomplete neurological deficits and failed conservative treatment are indications for operative stabilization. So far, only posterior stabilization techniques performed during pregnancy have been published in case reports. This Grand Round case presentation describes a 24-year-old woman in the 19th week of gestation who was involved in a motorcycle accident as a pillion rider.Radiological examination revealed a complete burst fracture (type AO A3.3) of T8 with a slight, yet clinical unapparent narrowing of the spinal canal and a stable T5 fracture (type AO A1.2). Despite analgesia with morphine, conservative treatment failed and it was not possible to mobilize the patient. Hence, an anterior thoracoscopicassisted reduction and stabilization in left lateral position with single lung ventilation was performed as the therapy of choice. Intraoperatively, the body of T8 was removed and plate was used to stabilize and reduce the fracture. Finally, a tricortical iliac bone graft was implanted into the bony defect. Intraoperative fluoroscopy was merely used to verify the positioning of the implants. Postoperative examination of the foetus revealed normal findings. The patient was discharged with paracetamol as residual pain medication. The degree of kyphosis of the T8 fracture was successfully reduced from 20°to 13°(segmental standard value 12°). Further clinical and radiological course of the patient was uneventful. If suitable implants are available and good bone structure exists, solely anterior thoracoscopic-assisted reduction and stabilization of an unstable thoracic burst fracture can be performed safely. In the present case, it was possible to avoid intraoperative prone positioning of the pregnant patient as well as reaching a minimum of radiation exposure.

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Thoracolumbar distraction fractures in advanced pregnancy: a contribution of two case reports

Cited by 13 publications

References 15 publications

Obstetric Outcomes of Women Who Sustained Traumatic Spinal Injury during Pregnancy: A Systematic Review

Obstetric Outcomes of Women Who Sustained Traumatic Spinal Injury during Pregnancy: A Systematic Review

Fratura-luxação da coluna torácica durante segundo trimestre da gestação: relato de caso e revisão da literatura

Anterior, thoracoscopic-assisted reduction and stabilization of a thoracic burst fracture (T8) in a pregnant woman

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