HYPEREXTENSION FRACTURE-DISLOCATION OF THE THORACIC SPINE WITH PARAPLEGIA IN A PATIENT WITH DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS

Authors
ISRAEL Z MOSHEIFF R GROSS E MUGGIASULLAM M FLOMAN Y
Citation
Z. Israel et al., HYPEREXTENSION FRACTURE-DISLOCATION OF THE THORACIC SPINE WITH PARAPLEGIA IN A PATIENT WITH DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS, Journal of spinal disorders, 7(5), 1994, pp. 455-457
Citations number
NO
Categorie Soggetti
Orthopedics
Journal title
Journal of spinal disorders → ACNP
ISSN journal
08950385
Volume
7
Issue
5
Year of publication
1994
Pages
455 - 457
Database
ISI
SICI code
0895-0385(1994)7:5<455:HFOTTS>2.0.ZU;2-0
Abstract
The case is described of a hyperextension thoracic spine fracture in a patient with diffuse idiopathic skeletal hyperostosis (DISH). A 70-ye ar-old woman awoke paraplegic after retroperitoneal surgery after havi ng been positioned in the hyperextended axially rotated position. Imag ing demonstrated a T9-10 fracture-dislocation with severe pressure on the spinal cord, as well as findings typical of DISH. This case emphas izes the danger inherent in manipulating the ankylosed hyperostotic sp ine. It is proposed that patients undergoing surgery in this position should be evaluated for DISH as an additional risk factor.