Scribd Logo
Upload

Welcome to Scribd!

  • Thoracolumbar Fracture

    Uploaded by

    Waqas Saeed Baqai
    27 views12 pages
    A 35-year-old female presented to the emergency department after a roof collapse caused multiple blunt injuries. On examination, she had a complete spinal cord injury at T12 with sensory loss and paralysis below that level. Imaging showed a burst fracture at T12 with posterior ligament complex injury and spinal cord contusion. She was diagnosed with an American Spinal Injury Association Grade A thoracolumbar spinal cord injury. Her management involved decompression of T12 and pedicle screw fixation from T11 to L3 to stabilize the fracture. She also had other injuries including a pneumothorax, haemothoraces, liver laceration, and adrenal haematoma.

    Original Description:

    Original Title

    Thoracolumbar fracture.ppt

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    A 35-year-old female presented to the emergency department after a roof collapse caused multiple blunt injuries. On examination, she had a complete spinal cord injury at T12 with sensory loss and paralysis below that level. Imaging showed a burst fracture at T12 with posterior ligament complex injury and spinal cord contusion. She was diagnosed with an American Spinal Injury Association Grade A thoracolumbar spinal cord injury. Her management involved decompression of T12 and pedicle screw fixation from T11 to L3 to stabilize the fracture. She also had other injuries including a pneumothorax, haemothoraces, liver laceration, and adrenal haematoma.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    27 views12 pages

    Thoracolumbar Fracture

    Uploaded by

    Waqas Saeed Baqai
    A 35-year-old female presented to the emergency department after a roof collapse caused multiple blunt injuries. On examination, she had a complete spinal cord injury at T12 with sensory loss and paralysis below that level. Imaging showed a burst fracture at T12 with posterior ligament complex injury and spinal cord contusion. She was diagnosed with an American Spinal Injury Association Grade A thoracolumbar spinal cord injury. Her management involved decompression of T12 and pedicle screw fixation from T11 to L3 to stabilize the fracture. She also had other injuries including a pneumothorax, haemothoraces, liver laceration, and adrenal haematoma.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 12

    Management of

    Thoraco-Lumbar
    Fractures
    PRESENTER: MUHAMMAD WAQAS SAEED BAQAI
    MODERATOR: DR. AHMED ALI SHAH
    PANELISTS: DR. FARRUKH, DR. LAL REHMAN, DR. MANZAR, DR. RAZ BAZAI
    History:

     35 year-old female came to the emergency department with history


    of multiple blunt injuries after the collapse of the roof of her room
    Vitals:

     Pulse - 100 b/min


     BP - 131/72 mmHg
     RR - 21 b/min
     Afebrile
    Examination

     General Physical:
     No pallor/Jaundice

     CNS:
     Alert, awake and oriented (E4V5M6)
     Cranial Nerves: Intact
     HMF: Intact
     Pupils: BERL
    Neurological Exam
    Sensory:
    • No sensations below D12
    • Anal tone: Absent

    Motor:

    RUL RLL LUL LLL


    Bulk Normal Normal Normal Normal
    Tone Increased Normal Normal Increased

    Power 5/5 0/5 5/5 0/5


    Reflexes ++ Absent ++ Absent
    Plantars Mute Mute
    Systemic Exam:
     Abdominal Exam:
     Soft
     Tender in LLQ

     Cardiovascular:
     Unremarkable

     Respiratory:
     Reduced air entry bilaterally
     Hyper-resonant on right lower zone
     Dull on left middle and lower zone
    Imaging:

     Baseline labs
     Trauma Series
     CT Head and whole spine
    Management
     ATLS protocol

     Grade A injury according to American Spinal Injury Association (ASIA)


    grading scale

     TLICS Score: 2 (Burst) + 3 (PCL injury) + 2 (Comp Cord) = 7

     Other Injuries:
     Right-sided pneumothorax with pneumomediastinum.
     Bilateral haemothorax with contusion in the left lung apex
     Grade II liver laceration with moderate haemoperitoneum
     Right adrenal gland haematoma

     L1 Decompression + D11,D12,L2 and L3 Pedicle screw fixation


    Thank you

    You might also like