Emergency Closed Reduction of a C45 Fracture Dislocation with Complete Paraplegia Resulting in Profound Neurologic Recovery
المؤلفون المشاركون
Thietje, Roland
Krettek, Christian
Decker, Sebastian
Müller, Christian W.
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-09-12
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Introduction.
Cervical spinal cord injuries due to traumatic fractures are associated with persistent neurological deficits.
Although clinical evidence is weak, early decompression, defined as <24–72 h, has been frequently proposed.
Animal studies show better outcomes after early decompression within one hour or less, which can hardly ever be achieved in clinical practice.
Case Presentation.
A 37-year-old patient was hospitalized after being hit by a shying horse.
After diagnosis of C4/5 fracture dislocation and complete paraplegia, she was intubated and sedated with deep relaxation.
Emergency reduction was performed at approximately 120 minutes after trauma.
Subsequently, a standard anterior decompression, discectomy, and fusion were carried out.
She was then transferred to a specialized rehabilitation hospital.
Her neurologic function improved from AIS grade A on admission to grade B postoperatively and grade D after four months of rehabilitation.
One year after the accident, she was ambulatory without walking aids and restarted horse riding.
Discussion and Conclusion.
Rarely in clinical practice, decompression of the spine canal can be performed as early as in this case.
This case highlights the potential benefit of utmost early reduction in cervical fracture dislocations with compression of the spinal cord.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Müller, Christian W.& Decker, Sebastian& Thietje, Roland& Krettek, Christian. 2013. Emergency Closed Reduction of a C45 Fracture Dislocation with Complete Paraplegia Resulting in Profound Neurologic Recovery. Case Reports in Orthopedics،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-459326
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Müller, Christian W.…[et al.]. Emergency Closed Reduction of a C45 Fracture Dislocation with Complete Paraplegia Resulting in Profound Neurologic Recovery. Case Reports in Orthopedics No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-459326
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Müller, Christian W.& Decker, Sebastian& Thietje, Roland& Krettek, Christian. Emergency Closed Reduction of a C45 Fracture Dislocation with Complete Paraplegia Resulting in Profound Neurologic Recovery. Case Reports in Orthopedics. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-459326
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-459326
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر