Missed T8-T9 translational fracture with intact neurology: A Case report
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 i...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2025-06-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9126 |
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| author | Niraj Kumar Sharma Rishi Ram Banjade Sabin Pokharel Sharmila Ghimire |
| author_facet | Niraj Kumar Sharma Rishi Ram Banjade Sabin Pokharel Sharmila Ghimire |
| author_sort | Niraj Kumar Sharma |
| collection | DOAJ |
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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.
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| format | Article |
| id | doaj-art-8ee869a6887a4f7ba04a9ff704ba34ff |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj-art-8ee869a6887a4f7ba04a9ff704ba34ff2025-08-20T03:28:22ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-06-016328710.31729/jnma.9126Missed T8-T9 translational fracture with intact neurology: A Case reportNiraj Kumar Sharma0Rishi Ram Banjade1Sabin Pokharel2Sharmila Ghimire3Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu,NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalNational Trauma Centre,Mahankal,Kathmandu ,Nepal.Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu,Nepal 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. https://www.jnma.com.np/jnma/index.php/jnma/article/view/9126decompressionintact neurologyposterior instrumentationtranslational fracture |
| spellingShingle | Niraj Kumar Sharma Rishi Ram Banjade Sabin Pokharel Sharmila Ghimire Missed T8-T9 translational fracture with intact neurology: A Case report Journal of Nepal Medical Association decompression intact neurology posterior instrumentation translational fracture |
| title | Missed T8-T9 translational fracture with intact neurology: A Case report |
| title_full | Missed T8-T9 translational fracture with intact neurology: A Case report |
| title_fullStr | Missed T8-T9 translational fracture with intact neurology: A Case report |
| title_full_unstemmed | Missed T8-T9 translational fracture with intact neurology: A Case report |
| title_short | Missed T8-T9 translational fracture with intact neurology: A Case report |
| title_sort | missed t8 t9 translational fracture with intact neurology a case report |
| topic | decompression intact neurology posterior instrumentation translational fracture |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9126 |
| work_keys_str_mv | AT nirajkumarsharma missedt8t9translationalfracturewithintactneurologyacasereport AT rishirambanjade missedt8t9translationalfracturewithintactneurologyacasereport AT sabinpokharel missedt8t9translationalfracturewithintactneurologyacasereport AT sharmilaghimire missedt8t9translationalfracturewithintactneurologyacasereport |