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. 2023 Mar 13;7(4):410-413.
doi: 10.22603/ssrr.2023-0007. eCollection 2023 Jul 27.

Thoracic Dislocation Fracture Complicated by a Serious Electric Shock Injury: A Case Report

Ryosuke Hirota  1 , Atsushi Teramoto  1 , Mitsumasa Chiba  1 , Masahiro Onuma  2 , Hidetomo Narimatsu  3 , Takatoshi Yotsuyanagi  2 , Toshihiko Yamashita  1
Affiliations

Thoracic Dislocation Fracture Complicated by a Serious Electric Shock Injury: A Case Report

Ryosuke Hirota et al. Spine Surg Relat Res. .
No abstract available

Keywords: electrical injury; spinal cord injury; thoracic dislocation fracture.

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Conflict of interest statement

Conflicts of Interest: The authors declare that there are no relevant conflicts of interest.

Figures

Figure 1.
Figure 1.
Appearance at the time of transport to our hospital. A) Extensive, severe burns can be seen on the patient’s back. B) Burn on the upper arm. C) Burn from the elbow to forearm.
Figure 2.
Figure 2.
Findings at the time of transport to our hospital. A) Spinal CT coronal image showed destruction of the Th 10/11 and fracture of the Th 7.8.9.12 vertebrae. B) CT sagittal image of the spine showing complete dislocation of Th 10/11. C) Chest CT showing multiple rib fractures and hemopneumothorax in both lungs. D) Neurological findings indicated that the patient had complete loss of motor and sensory function caudally from the Th10 level. E) Spinal MRI T2 weighted image, sagittal image. F) Spinal MRI T2 weighted image, para sagittal image, showing a signal change in the paraspinal muscles (orange arrow). G) Spinal MRI T2 weighted image, an axial image showing signal changes in the paraspinal muscles on both sides.
Figure 3.
Figure 3.
Pre- and postoperative imaging findings. A) Appearance before initial surgery. A screw was inserted percutaneously to avoid damage to the soft tissue. B) Frontal X-ray image after the initial surgery; posterior fixation was performed at the Th5-L2 level. C) Lateral X-ray image after the initial surgery. D) CT sagittal view after the initial surgery. E) Frontal X-ray image after 2-stage surgery with anterior strut reconstruction at the Th7-12 level. F) Lateral X-ray image after two-stage surgery. G) Frontal CT image after two-stage surgery. H) Lateral CT image after two-stage surgery.
Figure 4.
Figure 4.
Progression of the condition of the soft tissue of the back. A, B) Debridement was performed on the necrotic tissue five days after the initial injury. C, D) A skin graft was placed over the skin defect 35 days after injury. E) The dorsal area had become epithelialized with no signs of infection 70 days after injury.
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