Four Columns of the Thorax: Operative Decision-Making in the Setting of Complete Bony Instability.

Lebhar, Michael S; Anastasio, Albert; Fernandez-Moure, Joseph S; Shiroff, Adam · Ann Thorac Surg · 2021

case_report · Level V

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Abstract

Thoracic skeletal injury is a common outcome of motor vehicle accidents. Skeletal reconstruction is guided by anatomic and physiologic variables dictated by the injury complex. Here we describe a report of a patient who sustained complex trauma to the thorax leading to complete thoracic dissociation. Clinical and operative decision-making is discussed to inform the reader of a proposed ordered protocol and considerations for operative intervention and reconstruction.

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