Thoracic vertebral limbus fracture

Abstract

A 37-year-old man with thoracic limbus fracture and associated disc herniation due to trauma was presented. Neurological examination demonstrated complete paraplegia. Computed tomography scanning revealed a bony defect in the posterior margin of T11 vertebral body and bone fragments, led to spinal canal stenosis. Extended laminectomy of T10 and T11 and medial facetectomy was performed and sequestrated bone and disc fragments were removed and posterior instrumentated fusion was performed. The patient did not show any improvement postoperatively sna after tree months follow up. To our knowledge it is the first report of thoracic limbus fracture. In spite of an accepted method of surgery for lumbar limbus fracture, in thoracic region the appropriate method of surgery is still questionable. This demands more study.