Traumatic total axial reversal of the thoracic vertebral body

Numerous vertebral fracture patterns have been reported in the literature. We present the case of a patient who sustained severe trauma to the back that resulted in a very unusual and not previously reported rotational injury consisting in complete 180 degrees rotation of the T6 vertebral body along...

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Bibliographic Details
Published in:European spine journal 1999-12, Vol.8 (6), p.501-504
Main Authors: Jacquot, F P, Signoret, F, Feron, J M
Format: Article
Language:English
Subjects:
Accidents, Occupational
Aortic Rupture - etiology
Case Report
Fatal Outcome
Humans
Male
Middle Aged
Radiography
Rotation
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Thoracic Vertebrae - injuries
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Description
Summary:Numerous vertebral fracture patterns have been reported in the literature. We present the case of a patient who sustained severe trauma to the back that resulted in a very unusual and not previously reported rotational injury consisting in complete 180 degrees rotation of the T6 vertebral body along a vertical axis, with only limited anteroposterior and lateral displacement. An unsuspected aortic tear resulted in severe evolution with fatal outcome following surgical attempt. The aetiology of such displacement is unknown. The possibility of late vascular complications should be kept in mind while treating thoracic spine fractures with rotational displacement.
ISSN:0940-6719
1432-0932
DOI:10.1007/s005860050214