SURGICAL MANAGEMENT OF TRAUMATIC VERTEBRAL BODY COMPRESSION FRACTURE WITH CORD COMPRESSION IN A THALASSEMIC PATIENT. CASE REPORT

Author:

Gupta Ashish1,Bharti Rajesh Kumar2,Kumar Bidyanand3

Affiliation:

1. MS, MCh Neurosurgery, DNB Neurosurgery, MNAMS Director & Head of Neurosurgery Fortis Escorts Hospital, Faridabad-121001

2. DNB General Surgery, DNB Neurosurgery, MNAMS Consultant Neurosurgeon Fortis Escorts Hospital, Faridabad-121001.

3. MBBS, MBA Registrar,Neurosurgery Department Fortis Escorts Hospital, Faridabad121001.

Abstract

Extramedullary hematopoiesis associated with thalassemia causing spinal cord compression is a rare event in the course of the disease. Management of these patients remains controversial. We present a case of traumatic vertebral body compression fracture with cord compression in association with thalassemia, which was treated successfully with spinal decompression and fusion, xation using implants and bone graft.

Publisher

World Wide Journals

Reference13 articles.

1. Amirjamshidi A, Abbassioun K, Ketabchi SE. Spinal extradural hematopoiesis in adolescent with thalassemia. Report of two cases and a review of the literature. Childs Nerv Syst 1991;7:223–225

2. Evrard C, Pichereau D, Alsweis S, Martel B, Galateau F, Houtteville JP et al. Extramedullary hematopoiesis of thoracic and vertebral intraductal localization. A propose of a case and review of the literature. Ann Chir 1994;48:284–293

3. Jackson DV, Randall ME, Richards FII. Spinal cord compression due to extramedullary hematopoiesis in thalassemia: long term follow-up after radiotherapy. Surg Neurol 1988;29:388–392

4. Khandelwal N, Malik N, Khosla VK, Suri S. Spinal cord compression due to epidural extramedullary haematopoiesis in thalassemia. Pediatr Radiol 1992;22:70–71

5. Gatto I, Terrana V, Biondi L. Compression of the spinal cord due to proliferation of bone marrow in epidural space in a splenectomized person with Cooley's disease. Haematologica 1954;38:61–76

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