Post-traumatic thoracic scoliosis with rib head dislocation and intrusion into the spinal canal: a case report and review of literature

Kishen, Thomas; Mohapatra, Bibhudendu; Diwan, Ashish D.; Etherington, Greg

doi:10.1007/s00586-010-1321-1

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…There are numerous reports on costovertebral joint dislocation in cases of neurofibromatosis and scoliosis patients. [2][3][4][5] Kishen et al 6 reported post traumatic thoracic scoliosis with rib head dislocation in a case report however in this case the dislocation and trauma were chronologically separated by 32 years.…”

Section: Discussionmentioning

confidence: 80%

Ipsilateral multiple costovertebral joint dislocation: Case report and review of literature

Bhayana¹,

Mishra²,

Sharma³

et al. 2020

JSAS

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Isolated costovertebral joint dislocation without vertebral body fracture is a rare occurrence.. We present a case report of a 26 year old male who sustained road traffic accident and sustained multiple ipsilateral costovertebral joint dislocations (D8-D12) without vertebral body fractures. The patient had concomitant ipsilateral (right side) clavicle fracture with right sided hemopneumothorax, lung contusion and pleural effusion. Intercostal drain was put which was removed at 7 days. Patient was managed non operatively on Taylor's brace for management of costovertebral dislocation. The patient demonstrated painless and complete movements at the spine at three weeks follow up. He resumed his professional activity including vocational sports activity at 2 months follow up and was doing well at last follow up.

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Section: Discussionmentioning

confidence: 80%

Ipsilateral multiple costovertebral joint dislocation: Case report and review of literature

Bhayana¹,

Mishra²,

Sharma³

et al. 2020

JSAS

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“…Zand et al reported that no living bacteria were detected in the biofilm-formed dentin block after aPDT/PACT treatment with TB [38]. Kishen et al showed a bactericidal effect of a 5 log reduction by aPDT/PACT using MB and RB [39], and Akbari et al showed a 2.81 log reduction with nanographene oxide including ICG [27]. However, a number of studies have reported that the bactericidal effect of aPDT/PACT on E. faecalis biofilm was less than 90%.…”

Section: Discussionmentioning

confidence: 99%

Photodynamic Inactivation of an Endodontic Bacteria Using Diode Laser and Indocyanine Green-Loaded Nanosphere

Higuchi

Hayashi

Fujita

et al. 2021

IJMS

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Apical periodontitis, an inflammatory lesion causing bone resorption around the apex of teeth, is treated by eradicating infectious bacteria from the root canal. However, it has a high recurrence rate and often requires retreatment. We investigated the bactericidal effect of antimicrobial photodynamic therapy (aPDT)/photodynamic antimicrobial chemotherapy (PACT) using indocyanine green (ICG)-loaded nanospheres coated with chitosan and a diode laser on a biofilm of Enterococcus faecalis, a pathogen of refractory apical periodontitis. Biofilm of E. faecalis was cultured in a porcine infected root canal model. ICG solution was injected into the root canal, which was then irradiated with a laser (810 nm wavelength) from outside the root canal. The bactericidal effect was evaluated by colony counts and scanning electron microscopy. The result of the colony counts showed a maximum 1.89 log reduction after irradiation at 2.1 W for 5 min. The temperature rise during aPDT/PACT was confirmed to be within a safe range. Furthermore, the light energy transmittance through the root was at a peak approximately 1 min after the start of irradiation, indicating that most of the ICG in the root canal was consumed. This study shows that aPDT/PACT can suppress E. faecalis in infected root canals with high efficiency.

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“…Progression of a scoliotic curve increases the distance between the demifacets on the adjacent vertebrae in the convex apex of the curve and can potentially disrupt rib–vertebral articulation. Apical vertebral rotation may also play a role in disrupting rib–vertebral articulation [ 3 ]. As the scoliosis was of a higher degree in all the human cases [ 3 , 4 , 6 ] and since the biomechanics of the feline spine differ from those of the human spine, it is highly debatable whether this mechanism occurred in the reported case.…”

Section: Discussionmentioning

confidence: 99%

“…Apical vertebral rotation may also play a role in disrupting rib–vertebral articulation [ 3 ]. As the scoliosis was of a higher degree in all the human cases [ 3 , 4 , 6 ] and since the biomechanics of the feline spine differ from those of the human spine, it is highly debatable whether this mechanism occurred in the reported case. Scoliosis could have occurred before the accident and could therefore be an incidental finding.…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of post-traumatic luxation of rib heads with spinal cord compression in a cat

et al. 2021

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Background Luxation of the rib head with intrusion into the intervertebral foramen seems to be rare in cats. Only one report has been published describing a cat with non-ambulatory paraparesis, which was managed conservatively. Here we report a case of rib head luxation that was managed surgically. Case presentation A 4-year-old, female domestic shorthair cat with a two-week history of non-ambulatory paraparesis was presented at our clinic. Based on history and neurological examination, a diagnosis of thoracolumbar spinal cord lesion of traumatic origin was made. Computed tomography scanning revealed mild scoliosis, a luxation of the 3rd and 4th right rib heads and penetration into the spinal canal through intervertbral foramina. Surgical management using right dorsal approach to the spine was performed. The spinal cord was decompressed by cutting and removing of proximal ribs’ fragments by rotation and pulling out from the intervertebral foramina. The cat was ambulatory and paraparetic four weeks after surgery. Two years after surgery the cat regained functional gait, but ataxia remained. Conclusions We report the first case of a surgical treatment of rib head luxation and intrusion into the spinal canal in a cat. The applied procedure resulted in an improvement of neurological signs.

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Post-traumatic thoracic scoliosis with rib head dislocation and intrusion into the spinal canal: a case report and review of literature

Cited by 7 publications

References 9 publications

Ipsilateral multiple costovertebral joint dislocation: Case report and review of literature

Ipsilateral multiple costovertebral joint dislocation: Case report and review of literature

Photodynamic Inactivation of an Endodontic Bacteria Using Diode Laser and Indocyanine Green-Loaded Nanosphere

Surgical treatment of post-traumatic luxation of rib heads with spinal cord compression in a cat

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