PMC7294168_01
The computed tomography (CT) scan of the thoracic spine with contrast for detect of vascular injury showed the bilateral head of seventh ribs fracture and right huge hemothorax on an axial view (a). Furthermore, we could see a widening of T7-8 disc space on coronal reconstruction (b) with a small avulsion of the superior endplate of T8. Furthermore, a small hypodensity in the adjacent aorta could be seen that was treated with traumatic aortic dissection diagnosis (b). Sagittal view reconstruction (c) revealed a fracture of the T7 spinous process. Postoperative CT scan in sagittal view (d) and anteroposterior view X-ray (e) showed normal alignment of the previously displaced thoracic spine.
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F1
Surgery at the T7 level warranted bilateral laminectomies and resection of the pars interarticularis; pedicle screws were placed bilaterally from T5 to T10, and following displacement/repositioning under direct fluoroscopic guidance, a posterior arthrodesis was performed [Figure 1].