Publication: Missed T8-T9 translational fracture with intact neurology: A Case report
Date
2025
Article Type
Original Article
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 537 - 540
Publisher
Nepal Medical Association
Abstract
Abstract
Translational fracture of the thoracic spine, though rare due to its stability, is often associated with spinal cord injury and neurological deficits. Few cases present with intact neurology. We report a case of a 28-year-old woman who, after a road traffic accident, had persistent back pain with intact neurology. The initial chest radiograph showed a subtle deformity that was missed, likely because a lateral view was not done, and the patient was discharged. Persistent back pain led to CT imaging, revealing a T8–T9 translational fracture, left 4th and 5th posterior rib fractures near the costovertebral junction, and a T7 transverse process fracture. MRI confirmed these findings. She underwent posterior instrumentation and decompression, with symptom relief, and remained asymptomatic on follow-up. Translational thoracic spine fractures, typically associated with neurological deficits, can be missed when neurology is intact. Timely imaging and intervention are crucial for optimal outcomes.
Description
Niraj Kumar Sharma
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu,Nepal
Rishi Ram Banjade
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Sabin Pokharel
National Trauma Centre,Mahankal,Kathmandu ,Nepal.
Sharmila Ghimire
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu,Nepal
Keywords
Identifier
https://doi.org/10.31729/jnma.9126