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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| Format: | Article |
| Language: | English |
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Knowledge E
2021-11-01
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| Series: | Dubai Medical Journal |
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| Online Access: | https://www.karger.com/Article/FullText/520129 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-20T14:46:34Z |
| format | Article |
| id | doaj.art-4edb6ebc790945b299c9d7c79e5ab68d |
| institution | Directory Open Access Journal |
| issn | 2571-726X |
| language | English |
| last_indexed | 2025-02-17T09:31:26Z |
| publishDate | 2021-11-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Dubai Medical Journal |
| spelling | doaj.art-4edb6ebc790945b299c9d7c79e5ab68d2025-01-02T10:46:22ZengKnowledge EDubai Medical Journal2571-726X2021-11-014435836410.1159/000520129520129Aortic Impingement in Displaced Traumatic Spine Fracture with Complete Spinal Cord Transection: A Case ReportAsma Anan Mohammed0Fatima R. Shulaiba1Mina Hikmat Ismaeal Alhety2Hayder Saleh Abdul Hadi Al Saadi3Bilal El Yafawi4Medical Internship Program, Medical Education Department, Dubai Health Authority, Dubai, United Arab EmiratesMedical Internship Program, Medical Education Department, Dubai Health Authority, Dubai, United Arab EmiratesMedical Internship Program, Medical Education Department, Dubai Health Authority, Dubai, United Arab EmiratesTrauma/Orthopedics Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesTrauma/Orthopedics Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesAortic 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.https://www.karger.com/Article/FullText/520129case reportaortic impingementcomplete spinal transectionspinal cord traumathoracic spine fracture |
| spellingShingle | 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 Dubai Medical Journal case report aortic impingement complete spinal transection spinal cord trauma thoracic spine fracture |
| title | 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_short | 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 |
| topic | case report aortic impingement complete spinal transection spinal cord trauma thoracic spine fracture |
| url | https://www.karger.com/Article/FullText/520129 |
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