Distraction injury to thoracic spine treated with thoracoscopic dual-rod fixation.

The spine journal : official journal of the North American Spine Society

PubMedID: 16651230

Lekovic GP, Horn EM, Dickman CA. Distraction injury to thoracic spine treated with thoracoscopic dual-rod fixation. Spine J. 2006;6(3):330-4.
BACKGROUND CONTEXT
Thoracic hyperextension fracture-dislocation is a rare pattern of traumatic spinal injury, typically associated with gross spinal instability and severe neurological deficit. These extremely unstable injuries require internal fixation despite their potentially benign clinical presentation.

PURPOSE
We present a patient with a thoracic distraction injury who remained neurologically intact.

METHODS
The patient underwent thoracoscopic reduction and anterior fixation of the thoracic spine using a paired screw-rod construct.

RESULTS
Postoperatively, the patient remained neurologically intact and had no complications related to his thoracic fixation and fusion. Follow-up radiographs showed maintenance of thoracic alignment and bony fusion.

CONCLUSIONS
The endoscopic approach to the anterior thoracic spine was an excellent treatment option for this thoracic distraction injury.