International Journal of Surgery Case Reports, 2021 · DOI: https://doi.org/10.1016/j.ijscr.2021.106529 · Published: October 19, 2021
Multilevel noncontiguous spinal fractures (MNSF) are complex injuries often missed initially, leading to delayed diagnosis and potential spinal deformity and neurological issues. This case report details the surgical management of a patient with MNSF and spinal cord injury affecting both the cervical and thoracic vertebrae. The patient was treated with a cervical orthosis and posterior thoracic decompression and fusion. After treatment and rehabilitation, the patient's sitting and balance improved, although lower extremity function did not due to the severity of the spinal cord injury.
Early detection of secondary lesions in MNSF is crucial for preventing complications and achieving optimal clinical outcomes.
Surgical intervention, such as posterior thoracic decompression and fusion, can be an effective treatment for MNSF with spinal cord injury.
Suitable rehabilitation training, including wheelchair transfer and sitting balance exercises, is essential for improving patient outcomes post-surgery.