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European Spine Journal
Published in: European Spine Journal 1/2016

01-05-2016 | Case Report

Extension type fracture of the ankylotic thoracic spine with gross displacement causing esophageal rupture

Authors: F. R. J. Groen, D. Delawi, M. C. Kruyt, F. C. Oner

Published in: European Spine Journal | Special Issue 1/2016

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Abstract

Purpose

This study aimed at discussing the relevance of the type B3 fracture of the new AOSpine classification.

Methods

Hyperextension fractures of the spine are rare in the general population, but common in the ankylotic spine. We present a case of a severe spinal fracture with concomitant esophageal rupture, which was diagnosed early and could be treated during the initial trauma care.

Results

The spinal column was stabilized using a percutaneous technique after which the perforated esophagus was sutured through a thoracotomy. The spinal injury was classified a type B3 fracture using the new AOSpine classification.

Conclusion

The B3 typification raised a lot of discussion during the development of the new classification system and may be controversial. This case, however, nicely illustrates the relevance of an intact posterior hinge as compared to C-type injuries where complete dissociation is present with inherent spinal cord damage.
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Metadata
Title
Extension type fracture of the ankylotic thoracic spine with gross displacement causing esophageal rupture
Authors
F. R. J. Groen
D. Delawi
M. C. Kruyt
F. C. Oner
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue Special Issue 1/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-015-4315-1

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