Traumatic pneumorrhachis: 2 cases and review of the literature

Kara, Hasan; Akinci, Murat; Değirmenci, Selim; Bayır, Ayşegül; Ak, Ahmet

doi:10.1016/j.ajem.2014.12.040

Cited by 15 publications

(17 citation statements)

References 11 publications

(17 reference statements)

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“…This attitude allowed a rapid diagnosis. It is interesting to point out that the diagnosis of this association of injuries before surgery has never been described, even if cases of pneumorachis has been published[ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, the posterior arthrodesis was done firstly, in order to stabilize the spine, the hemodynamic stability and the absence of vascular emergency allowed to proceed this way. Moreover, Crawford et al[ 21 ] think that the reduction and stabilization of the spinal injuries should be performed as early as possible. Spine stabilization facilitates safe mobilization of the patient and avoids potential secondary injury to intra-abdominal structures.…”

Section: Discussionmentioning

confidence: 99%

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Small bowel entrapment and ureteropelvic junction disruption associated with L3 Chance fracture-dislocation

Pesenti¹,

Blondel²,

Faure³

et al. 2016

WJCC

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Paediatric Chance fracture are rare lesions but often associated with abdominal injuries. We herein present the case of a seven years old patient who sustained an entrapment of small bowel and an ureteropelvic disruption associated with a Chance fracture and spine dislocation following a traffic accident. Initial X-rays and computed tomographic (CT) scan showed a Chance fracture with dislocation of L3 vertebra, with an incarceration of a small bowel loop in the spinal canal and a complete section of the left lumbar ureter. Paraplegia was noticed on the initial neurological examination. A posterior L2-L4 osteosynthesis was performed firstly. In a second time she underwent a sus umbilical laparotomy to release the incarcerated jejunum loop in the spinal canal. An end-to-end anastomosis was performed on a JJ probe to suture the left injured ureter. One month after the traumatism, she started to complain of severe headaches related to a leakage of cerebrospinalis fluid. Three months after the traumatism there was a clear regression of the leakage. One year after the trauma, an anterior intervertebral fusion was done. At final follow-up, no neurologic recovery was noticed. In case of Chance fracture, all physicians should think about abdominal injuries even if the patient is asymptomatic. Initial abdominal CT scan and magnetic resonance imaging provide in such case crucial info for management of the spine and the associated lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Small bowel entrapment and ureteropelvic junction disruption associated with L3 Chance fracture-dislocation

Pesenti¹,

Blondel²,

Faure³

et al. 2016

WJCC

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“…In 2013, Germino et al 5 reported pneumorrhachis in a patient who had craniocervical hyperpneumatization and claimed that, for a long time, the patient used to do the Valsalva maneuver. In 2015, Kara et al 9 reported 2 patients of traumatic pneumorrhachis and concluded that early diagnosis is important in the evaluation of the patients. In 2016, Hadjigeorgiou GF et al 8 conducted a comprehensive literature search in PubMed database for English-language published articles up to October 2015 for the term "traumatic pneumorrhachis", the search yielded 11 cases, and their paper reported another two patients.…”

Section: Journalmentioning

confidence: 99%

“…12 Patients who are diagnosed with pneumorrhachis mostly have one or more of these signs: pneumocephalus, pneumothorax, and pneumopericardium. 9,12 Pneumorrhachis can be isolated in the penetrating spinal injuries, but it is mostly associated with pneumocephalus if a fracture in the skull base is present. 7,12 Recently, CT scan of the spine is the gold standard method of diagnosing pneumorrhachis.…”

Section: Journalmentioning

confidence: 99%

“…More detailed radiological images can be required if positive data were revealed in the routine study. 3,9,13 Pneumorrhachis must be assessed according to the general condition and presentation of the patient taking into consideration the following causes that may mimic pneumorrhachis in radiological scans. These include vacuum disc phenomenon, degenerative gas collection,…”

Section: Journalmentioning

confidence: 99%

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Traumatic Cervical Pneumorrhachis: A Case Report and Review of the Literature

Elsebaey

Attia

Abdelwanes

et al. 2020

Egyptian Spine Journal

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Iatrogenic post-surgical tension pneumosyrinx—a first reported case

et al. 2022

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We describe the first ever-reported occurrence of a post-operative tension pneumosyrinx occurring after a resection of an intradural intramedullary spinal tumour in a 40-year-old patient. Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. He made a gradual neurological recovery. This is an extremely rare complication with potentially long-lasting deleterious effects on patients’ neurological status if not recognized. We aim to bring this pathology to the attention of our neurosurgical colleagues and share our surgical approach and management to assist those who may encounter this pathology in the future.

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Traumatic pneumorrhachis: 2 cases and review of the literature

Cited by 15 publications

References 11 publications

Small bowel entrapment and ureteropelvic junction disruption associated with L3 Chance fracture-dislocation

Small bowel entrapment and ureteropelvic junction disruption associated with L3 Chance fracture-dislocation

Traumatic Cervical Pneumorrhachis: A Case Report and Review of the Literature

Iatrogenic post-surgical tension pneumosyrinx—a first reported case

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