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Case reports

Upper Thoracic Spine (D2-D3) Fracture With Unilateral Lock Facets Without Associated Neurological Deficits: Case Report & Literature Review

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Pages 17-21 | Received 31 Mar 2023, Accepted 20 Jul 2023, Published online: 05 Jan 2024
 

Abstract

Introduction

Upper thoracic spine fractures are rare as compared to other spine segments due to anatomical landmarks. If they occur, they are usually associated with paraplegia or any other neurological dysfunction. We report upper thoracic fracture without neurological dysfunction which is a rare entity along with its radiological imaging, and management plan.

Case Description

Forty-years old male presented after RTA. CT spine showed T2 vertebral body fracture with dislocation/locking of the right T2-T3 facet joint. The patient underwent surgical fixation and was neurologically intact.

Conclusion

Upper thoracic spine fracture is a rare entity due to its anatomical location. And sometimes it is missed as well. Proper imaging should be considered if there is high suspicion and early surgery is warranted to prevent permanent damage.

Ethical Consideration

This case report was compiled post informed consent from the patient about relaying clinical history and management with a view to publication. All attached imaging and clinical material were deidentified to ensure patient anonymity.

Consent

Informed consent was taken from the patient, including permission of printing his images.

Study Settings and Location

Hamad General Hospital – Surgical specialty center, Department of Neurosurgery.

Approval

Institutional approval was taken for this manuscript.

Disclosure

The authors report no conflicts of interest in this work.