Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1400
10
1
gregorian
2022
1
1
8
1
online
1
fulltext
en
Novel Combination of Harrington and Pedicular Screw Fixation in Traumatic Fracture-dislocation of Thoracic Spine: A Case Report and Literature Review
Neurotrauma
Case report
<div style="text-align: justify;"><strong>Background and Importance: </strong>Fracture-dislocation of the thoracic or lumbar spine (traumatic spondyloptosis) occurs in less than 5% of all spinal injuries mainly affecting the ventral direction.<br>
<strong>Case Presentation:</strong> A paraplegic young man was admitted to Shahid Kamyab Hospital in Mashhad City, Iran due to a motor vehicle accident. Computerized tomography (CT) showed a complete posterior dislocation of the T10 vertebral body on T9, with the superior articular processes of T9 bilaterally locked in the inferior endplate of T10 and complete fractures of the posterior elements.<br>
<strong>Conclusion: </strong>The spinal dislocation was re-aligned by a combination of Harrington fixation and pedicular screws leading to spinal fusion. Six months after surgery, the patient was still paraplegic but the sensory symptoms in the lower extremities and clean intermittent catheterization improved.</div>
Complete fracture-dislocation,
Decompression, Neurological
deficit, Harrington spinal
fixation
0
0
http://irjns.org/browse.php?a_code=A-10-317-3&slc_lang=en&sid=1
Mohamad-Reza
Ehsaei
ehsaei@gmail.com
10031947532846009290
10031947532846009290
No
Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Saman
Mohazzab-Torabi
smntrb@gmail.com
10031947532846009291
10031947532846009291
No
Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Amirhossein
Haghir
Amirhoseinhaghir@gmail.com
10031947532846009292
10031947532846009292
No
Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Bahador
Maleki-Pour
bahadormalekipoor@yahoo.com
10031947532846009293
10031947532846009293
No
Functional Neurosurgery Research Center, Shohada Tajrish Comprehensive Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad Ali
Abouei Mehriz
drabouei@yahoo.com
10031947532846009294
10031947532846009294
Yes
Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran