Thoracic Trauma

Patient : Fracture Dislocation T5,6 with paraplegia

A 15 year old boy was crossing the road and was hit by a car. He was instantaneously paralysed from the chest below and was shifted to a nearby hospital. His MRI demonstrated a fracture dislocation at the T5,6 level with complete transection of the spinal cord. (Fig. 1,2,3)

His CT scan also demonstrates the degree of force that caused complete disruption of the bony architecture in ...

Thoracic Tumour - Schwannoma

Patient : D8,9

A 46 year old gentleman, presented to me with difficulty in walking since last two years. He had been investigated and treated with neurotropic agents without any benefit. On examination, he was found to have posterior column involvement, with difficulty in maintaining balance, along with neurogenic claudication. His reflexes were normal. NCV studies showed demyelinating polyneuropathy. ...

Koch\'s Spine T - L Spine

Patient : Anterior Surgery with VertebralReconstruction D10 - L2

A 28 year old mother of two, developed persistent backache, for which, after initial treatment, she was diagnosed as having Tuberculosis of D12 vertebrae. (Fig. 1,2) She was started on standard four drug AKT by her physician.

However, despite three months of AKT, her pain continued to worsen, and she began having difficulty in sitting, standing and walking. She also developed ...

Hybrid Fixation for Osteoporotic Vertebral Compression Fracture

Patient : Fixation from D10-12, with Verterbroplasty D12

A 78 year old Jain saint had a jerk while sitting on a bench. He was diagnosed as having a minor compression fracture of the D12 vertebrae, and was treated with bed rest for two weeks along with NSAID’s and belt. He was also on steroids for a skin ailment for last two weeks. Despite appropriate conservative therapy,  he was extremely uncomfortable while changing positions, that is, ...

Adolescent Idiopathic Scoliosis (Deformity)

Patient : Lenke 1, Main Thoracic Curve, T4-11 fixation and fusion

A 11 yr old pre-pubescent girl presented with Adolescent Idiopathic Scoliosis. She had a primary right thoracic scoliosis, measuring 38° from T4 to T11. She was braced in a TLSO, for almost a year and a half. However, her curve continued to grow with her growth, and was at 56°, at age 13. Her pre-op Xrays and curvature are seen in Fig. 1,2.

She underwent Spinal Deformity ...

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