{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,11]],"date-time":"2023-06-11T18:49:32Z","timestamp":1686509372408},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nHyperextension thoracic spine fractures (HTSFs) typically involve the anterior ligamentous complex of the spine. These patients often present with paraplegia and warrant early surgical reduction\/fixation even though few deficits resolve. Here, we present the unusual case of a 40-year-old male whose paraparetic deficit resolved following reduction\/fixation of a T7-T8 HTSF.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 40-year-old male presented with a thoracic computed tomography (CT) documented T7- T8 HTSF following a motor vehicle accident. His neurological examination revealed severe paraparesis, but without a sensory level (ASIA motor score 78). The chest CT angiogram scan revealed a hypodensity in the aorta, representing a small traumatic aortic dissection responsible for the patient\u2019s right hemothorax; 450 ml of blood was removed on chest tube placement. He underwent urgent\/emergent thoracic spine reduction and fixation at the T7-T8 level. Within 5 postoperative months, he recovered fully neurological function (ASIA motor score 100).<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nWe recommend urgent\/emergent surgical reduction\/stabilization for patients with thoracic HTSF to decrease offer the potential for neurological recovery and avoid secondary injury due to continued compression.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_226_2020","type":"journal-article","created":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T08:59:25Z","timestamp":1590829165000},"page":"137","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report"],"prefix":"10.25259","volume":"11","author":[{"given":"Arash","family":"Fattahi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Mohammad Reza","family":"Mohajeri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdolhadi","family":"Daneshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ardeshir","family":"Shahivand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,5,30]]},"reference":[{"key":"10.25259\/SNI_226_2020\/ref-1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1749-7922-7-14","article-title":"Thoracic hyperextension injury with complete \u201cbony disruption\u201d of the thoracic cage: Case report of a potentially life-threatening injury","volume":"7","author":"Bailey","year":"2012","journal-title":"World J Emerg Surg"},{"key":"10.25259\/SNI_226_2020\/ref-2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1302\/0301-620X.53B1.3","article-title":"Hyperextension injuries of the spine","volume":"53","author":"Burke","year":"1971","journal-title":"J Bone Joint Surg"},{"key":"10.25259\/SNI_226_2020\/ref-3","first-page":"e614","article-title":"Successful treatment of a three-column thoracic extension injury with recumbency","volume":"8","author":"Choy","year":"2016","journal-title":"Cureus"},{"key":"10.25259\/SNI_226_2020\/ref-4","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1097\/00007632-199202000-00007","article-title":"Shear fracture-dislocations of the thoracic and lumbar spine associated with forceful hyperextension (lumberjack paraplegia)","volume":"17","author":"Denis","year":"1992","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_226_2020\/ref-5","doi-asserted-by":"crossref","first-page":"E785","DOI":"10.1097\/BRS.0b013e31815b60fd","article-title":"Three-column ligamentous extension injury of the thoracic spine: A case report and review of the literature","volume":"32","author":"Elgafy","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_226_2020\/ref-6","doi-asserted-by":"crossref","first-page":"126","DOI":"10.4184\/asj.2013.7.2.126","article-title":"A rare hyperextension injury in thoracic spine presenting with delayed paraplegia","volume":"7","author":"Shin","year":"2013","journal-title":"Asian Spine J"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/hyperextension-thoracic-spine-fracture-with-complete-neurological-recovery-after-surgical-fixation-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/hyperextension-thoracic-spine-fracture-with-complete-neurological-recovery-after-surgical-fixation-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T08:59:27Z","timestamp":1590829167000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/hyperextension-thoracic-spine-fracture-with-complete-neurological-recovery-after-surgical-fixation-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,30]]},"references-count":6,"alternative-id":["10.25259\/SNI_226_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_226_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,30]]},"article-number":"137"}}