Background: Chylothorax is a pathological condition associated with high mortality and morbidity rate. The first observation of chylothorax thoracic vertebral injury was documented by Krabbell in 1885. Since then, several cases have been described the literature.
 Non traumatic years after spine surgery rare condition. We case patient who sustained fracture-dislocation presented right side...

The acronym SCIWORA (Spinal Cord Injury Without Radiographic Abnormality) was first developed and introduced by Pang and Wilberger who used it to define "clinical symptoms of traumatic myelopathy with no radiographic or computed tomographic features of spinal fracture or instability". SCIWORA is a clinical-radiological condition that mostly affects children. SCIWORA lesions are found mainly in ...

We present a literature review of current approaches to craniocervical traumatic injuries. In an attempt to categorize the injuries that involve the upper cervical spine, we divide the injuries into two groups: (1) injuries affecting mainly bone structures and (2) predominantly ligamentous injury. This division is based on the principle that bone injuries have the potential to heal with conserv...

We describe the use of a C1 laminar screw in combination with a C2 laminar screw as a salvage technique to treat two patients, one with persistent first intersegmental artery and the other with vertebral artery occlusion after cervical spine fracture. The combined use of C1 and C2 laminar screws allows for good fixation of the atlantoaxial joint with a lower risk of vertebral artery injury; the...

conclusions application of pedicular screw in unstable upper and middle thoracic spine fractures is an effective method that can correct kyphotic deformity and anterolisthesis and improve neurologic deficit. background treatment of unstable upper and middle thoracic spine fractures remains controversial. there is no consensus regarding optimal treatment. objectives in this study, we evaluated t...

A basic assumption of caring for multi-injured patients is that all patients are suspected of having a cervical spine injury until proven otherwise. It is known that 2% to 4% of all blunt trauma injury patients have a cervical spine injury. Missed or delayed diagnosis of cervical spine injury occurs in 4% to 8% of patients of whom 70% have altered levels of consciousness. When these missed diag...

conclusions managing such patients needs a proper transport facility, proper care during transport, appropriate evaluation in the hospital and prompt conservative or operative treatment. treatment is usually safe and effective by well trained professionals with good clinical and radiological outcomes. patients and methods thirty patients (22 males, 8 females) with upper cervical spine injuries ...

BACKGROUND Cervical spine fracture-dislocations in neurologically intact patients represent a surgical challenge due to the risk of inflicting iatrogenic spinal cord compression by closed reduction maneuvers. The use of MRI for early advanced imaging in these injuries remains controversially debated. CASE PRESENTATION A 54-year old man sustained a fall over the handlebars of his racing bicycl...

We describe a patient with traumatic right-sided invagination of two consecutive laminae into the spinal canal. The injury resembled a greenstick fracture and resulted in an acute Brown-Sequard syndrome. There was also an undisplaced hangman's fracture of the axis vertebra. These injuries were caused by an acute hyperextension and axial compression of the cervical spine. Open reduction and inte...

Certain chronic neurological sequelae to be described may result not uncommoi ly from an isolated acute injury to the spine and spinal cord. Often this neurological pattern may arise from repeated minor traumatic insults to the spinal cord and develop so insidiously that a diagnosis is made of chronic degenerative disease of the spinal cord. Early recognition and verification of the lesion whic...