Document Detail

Traumatic pediatric pneumorachis: case report and review of the literature.
MedLine Citation:
PMID:  20628329     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Case report. OBJECTIVE: To report on a case of traumatic pneumorachis in a child and to review the existing literature. SUMMARY OF BACKGROUND DATA: Pneumorachis, the presence of air in the spinal canal, is an extremely rare finding. It may be caused by diverse pathologies such as incidental durotomy, barotrauma, pneumothorax, and trauma. In the polytrauma patient, it may be an indication of an occult spinal fracture. METHODS: The case of a 15-year old with complete paraplegia presenting with pneumorachis is presented. RESULTS: The initial computed tomography scan showed air in the spinal canal as well as surrounding subpleural and intramuscular spaces. However, there was near normal vertebral alignment with no fractures seen. Magnetic resonance imaging taken after the patient was stabilized showed a complete transaction of the spine at T3-T4 with ligamentous injury. A posterior instrumentation and fusion was performed. CONCLUSION: In the pediatric patient presenting with neurologic deficits and pneumorachis, ligamentous injury of the spine, even in the absence of bony injury, should be suspected.
John R Dimar; Jennifer Smail; Leah Y Carreon
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  35     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-04     Completed Date:  2010-11-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E860-3     Citation Subset:  IM    
Norton Leatherman Spine Center, Louisville, KY 40202, USA.
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MeSH Terms
Accidents, Traffic
Emphysema / radiography*
Lumbar Vertebrae / injuries,  radiography*,  surgery
Spinal Canal / radiography*
Spinal Fractures / radiography*,  surgery
Spinal Fusion
Thoracic Vertebrae / injuries,  radiography*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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