ArticleWorld journal of emergency surgery : WJES2012
Thoracic hyperextension injury with complete "bony disruption" of the thoracic cage: Case report of a potentially life-threatening injury.
Article in World journal of emergency surgery : WJES, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Traumatic fractures of the sternum - typical distribution and need for subgroups within AO and OTA classification system?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Classification of thoracic spine fractures: the four-column theory.International orthopaedics · 2023Review
- Combined Disruption of the Thoracic Spine and Costal Arch Fracture: An Indicator of a Severe Chest Trauma.Diagnostics (Basel, Switzerland) · 2022Article
- Hyperextension thoracic spine fracture with complete neurological recovery after surgical fixation: A case report.Surgical neurology international · 2020Article
- [Lesions of the anterior chest wall-significance of additional fractures of the spine].Der Unfallchirurg · 2018Review
- [Frequency and age distribution of combined sternovertebral injuries : Analysis of routine data from German hospitals 2005-2012].Der Unfallchirurg · 2018Article
- Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures.Journal of thoracic disease · 2018Article
- Surgical fixation of sternal fractures: preoperative planning and a safe surgical technique using locked titanium plates and depth limited drilling.Journal of visualized experiments : JoVE · 2015Article
- Surgical fixation of sternal fractures: locked plate fixation by low-profile titanium plates--surgical safety through depth limited drilling.International orthopaedics · 2014Article
- The 5th anniversary of "Patient Safety in Surgery" - from the Journal's origin to its future vision.Patient safety in surgery · 2012Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundSevere chest wall injuries are potentially life-threatening injuries which require a standardized multidisciplinary management strategy for prevention of posttraumatic complications and adverse outcome. CASE PRESENTATION: We report the successful management of a 55-year old man who sustained a complete "bony disruption" of the thoracic cage secondary to an "all-terrain vehicle" roll-over accident. The injury pattern consisted of a bilateral "flail chest" with serial segmental rib fractures, bilateral hemo-pneumothoraces and pulmonary contusions, bilateral midshaft clavicle fractures, a displaced transverse sternum fracture with significant diastasis, and an unstable T9 hyperextension injury. After initial life-saving procedures, the chest wall injuries were sequentially stabilized by surgical fixation of bilateral clavicle fractures, locked plating of the displaced sternal fracture, and a two-level anterior spine fixation of the T9 hyperextension injury. The patient had an excellent radiological and physiological outcome at 6 months post injury.
conclusionSevere chest wall trauma with a complete "bony disruption" of the thoracic cage represents a rare, but detrimental injury pattern. Multidisciplinary management with a staged timing for addressing each of the critical injuries, represents the ideal approach for an excellent long-term outcome.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.