SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2020
Massive hemothorax due to bleeding from thoracic spinal fractures: a case series and systematic review.
Synthesis in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Hemothorax due to inferior phrenic artery injury from blunt trauma: a case series and systematic review.World journal of emergency surgery : WJES · 2025Pooled it
- Elegans-Inspired Magnetic Polyurethane Soft Robot (MPSR) for Closed Visceral Secondary Hemostasis In Situ.Advanced healthcare materials · 2026Article
- Occult osteophyte fracture as an atypical source of massive hemothorax in diffuse idiopathic skeletal hyperostosis: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Hemothorax from a Thoracic Chalk-Stick Fracture in Ankylosing Spondylitis: A Case Report.Clinical practice and cases in emergency medicine · 2026Article
- Delayed hemorrhagic shock due to reverse chance thoracic vertebrae fracture complicated with hypoxemia caused by diaphragmatic eventration.Trauma case reports · 2025Article
- Severe hemothorax due to traumatic fracture of thoracic vertebra.Surgical case reports · 2024Article
- Incidence and Predictive Factors of Massive Hemothorax Due to Thoracic Vertebral Fractures.Spine surgery and related research · 2022Article
- Transcatheter arterial embolization for hemothorax caused by spinal fracture without arterial injury: a case report and review of the literature.Journal of medical case reports · 2022Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMassive hemothorax secondary to thoracic spinal fractures is rare, and its clinical characteristics, treatment, and prognosis are unknown. We present two cases of thoracic spinal fracture-induced massive hemothorax and a systematic review of previously reported cases.
methodsThis study included patients with traumatic hemothorax from thoracic spinal fractures at a Japanese tertiary care hospital. A systematic review of published cases was undertaken through searches in PubMed, EMBASE, and ICHUSHI from inception to October 13, 2019.
resultsCase 1: An 81-year-old man developed hemodynamic instability from a right hemothorax with multiple rib fractures following a pedestrian-vehicle accident; > 1500 mL blood was evacuated through the intercostal drain. Thoracotomy showed hemorrhage from a T8-burst fracture, and gauze packing was used for hemostasis. Case 2: A 64-year-old man with right hemothorax and hypotension after a fall from height had hemorrhage from a T7-burst fracture, detected on thoracotomy, which was sealed with bone wax. Hypotension recurred during transfer; re-thoracotomy showed bleeding from a T7 fracture, which was packed with bone wax and gauze for hemostasis. The systematic review identified 10 similar cases and analyzed 12 cases, including the abovementioned cases. Inferior part of thoracic spines was prone to injury and induced right-sided hemothorax. Most patients developed hemodynamic instability, and some sustained intra-transfer hemorrhage; direct compression (gauze packing, bone wax, and hemostatic agents) was the commonest hemostatic procedure. The mortality rate was 33.3%.
conclusionsHemothorax due to thoracic spinal fracture can be fatal. Thoracotomy with direct compression is necessary in hemodynamically unstable patients.
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