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KMID : 0390119940340010207
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Journal of Pusan Medical College
1994 Volume.34 No. 1 p.207 ~ p.212
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Clinical Analysis of Upper Thoracic Spinal Fractures
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Abstract
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Injuries of the upper region of the thoracic spine(first to tenth thoracic vertebra) differ from lower thoracic and lumbar injuries both anatomically and neurologically. I studied the cases of 17 patients who had had trauma to the upper thoracic
spine
and analysed clinically form January 1989 to December 1991.
@ES The results obtained were as follows:
@EN 1. The prevalent age distribution was between 40 and 50 years of age(59%) and the ratio between male and female was 4.7 : 1.
2. The most common cause of the injury was fall from the height(53%).
3. The most frequent level of injury was seventh thoracic vertebra(24%).
4. The most frequent osteoarticular lesion was compression fracture with posterior displacement(71%).
5. 14 patients(82%) had neurologic deficits. 9 patients had an incomplete lesion of the spinal cord, 5 patients had a complete lesion of the spinal cord. 3 patients were free neurologically.
6. Najor associated injuries were chest injuries(41%).
7. There were no evidences of neurological recovery in a complete lesion of the spinal cord. 9 patients with an incomplete lesion of the spinal cord had some neurological recovery.
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