Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report

Aortic impingement associated with traumatic thoracic spinal fractures is a rare and potentially lethal complication that creates management challenges in an already complex clinical problem. Traumatic aortic injury is one of the leading causes of death in blunt trauma. Magerl divided thoracic and l...

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Autores principales: Asma Anan Mohammed, Fatima R. Shulaiba, Mina Hikmat Ismaeal Alhety, Hayder Saleh Abdul Hadi Al Saadi, Bilal El Yafawi
Formato: article
Lenguaje:EN
Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/4edb6ebc790945b299c9d7c79e5ab68d
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spelling oai:doaj.org-article:4edb6ebc790945b299c9d7c79e5ab68d2021-12-02T12:40:24ZAortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report2571-726X10.1159/000520129https://doaj.org/article/4edb6ebc790945b299c9d7c79e5ab68d2021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520129https://doaj.org/toc/2571-726XAortic impingement associated with traumatic thoracic spinal fractures is a rare and potentially lethal complication that creates management challenges in an already complex clinical problem. Traumatic aortic injury is one of the leading causes of death in blunt trauma. Magerl divided thoracic and lumbar fractures into 3 categories; the primary focus of this report, type C fractures, describes rotational injury and is one of the less common types, especially associated with aortic impingement as such. In this case, a young man was admitted following a near-fatal fall resulting in blunt force trauma to the midthoracic region. Emergency CT revealed a type C complete transection at the level of T11 and a grade I aortic injury. Definitive fixation of the spinal injury was delayed in favor of preventing further vascular injury by prioritizing the securing of hemodynamic stability. In traumatic thoracolumbar injuries, blunt traumatic aortic injury is often managed conservatively. However, blunt thoracic aortic injury is one of the leading causes of death from trauma, and each case requires its own case-by-case multidisciplinary management. In this occasion, management of the vascular insult was paramount to ensuring patient survival and favorable outcome.Asma Anan MohammedFatima R. ShulaibaMina Hikmat Ismaeal AlhetyHayder Saleh Abdul Hadi Al SaadiBilal El YafawiKarger Publishersarticlecase reportaortic impingementcomplete spinal transectionspinal cord traumathoracic spine fractureMedicineRENDubai Medical Journal, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic case report
aortic impingement
complete spinal transection
spinal cord trauma
thoracic spine fracture
Medicine
R
spellingShingle case report
aortic impingement
complete spinal transection
spinal cord trauma
thoracic spine fracture
Medicine
R
Asma Anan Mohammed
Fatima R. Shulaiba
Mina Hikmat Ismaeal Alhety
Hayder Saleh Abdul Hadi Al Saadi
Bilal El Yafawi
Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report
description Aortic impingement associated with traumatic thoracic spinal fractures is a rare and potentially lethal complication that creates management challenges in an already complex clinical problem. Traumatic aortic injury is one of the leading causes of death in blunt trauma. Magerl divided thoracic and lumbar fractures into 3 categories; the primary focus of this report, type C fractures, describes rotational injury and is one of the less common types, especially associated with aortic impingement as such. In this case, a young man was admitted following a near-fatal fall resulting in blunt force trauma to the midthoracic region. Emergency CT revealed a type C complete transection at the level of T11 and a grade I aortic injury. Definitive fixation of the spinal injury was delayed in favor of preventing further vascular injury by prioritizing the securing of hemodynamic stability. In traumatic thoracolumbar injuries, blunt traumatic aortic injury is often managed conservatively. However, blunt thoracic aortic injury is one of the leading causes of death from trauma, and each case requires its own case-by-case multidisciplinary management. In this occasion, management of the vascular insult was paramount to ensuring patient survival and favorable outcome.
format article
author Asma Anan Mohammed
Fatima R. Shulaiba
Mina Hikmat Ismaeal Alhety
Hayder Saleh Abdul Hadi Al Saadi
Bilal El Yafawi
author_facet Asma Anan Mohammed
Fatima R. Shulaiba
Mina Hikmat Ismaeal Alhety
Hayder Saleh Abdul Hadi Al Saadi
Bilal El Yafawi
author_sort Asma Anan Mohammed
title Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report
title_short Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report
title_full Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report
title_fullStr Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report
title_full_unstemmed Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case Report
title_sort aortic impingement in displaced traumatic spine fracture with complete spinal cord transection: a case report
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/4edb6ebc790945b299c9d7c79e5ab68d
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AT minahikmatismaealalhety aorticimpingementindisplacedtraumaticspinefracturewithcompletespinalcordtransectionacasereport
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