Case report: T4 vertebral fracture in an obese patient.

Abstract

Introduction: A vertebral fracture is an injury that can involve only the vertebral body or a full functional vertebral unit. They are very frequent and rank second in fracture frequency and occur more often in men and between T11 and L1. They are usually accompanied by neurological deficits due to their proximity to the spinal cord. Diagnostic and management decisions are supported by a combination of general radiographs, computed axial tomography (CAT), and magnetic resonance imaging (MRI). Treatment options include conservative and surgical treatment to readjust the compressed spine and maintain its position until incorporated.
Case report: Male patient 51 years old, smoker 30 years ago, social alcoholism. Patients with diabetes mellitus, 5 years ago with regular treatment intensification, with a BMI of 41.5 which occurred with the entry of the capillary position about 2.5 meters behind, without loss of consciousness, showed severe pain in the groin. thoracic area, in left arm and head. A division of the T3 vertebra is identified, which is treated with arthrodesis in T2-T4 and T5, without complication and with optimal healing and development.
Compatibility: This was a complex event because of its association, Diabesus Mellitus, Hypertension and Obesity with a BMI of 39.4. Due to the lack of sharp images on the fluoroscope, the garbage damage in the affected area increases. Despite the problems of imaging, the intervention medium was successfully administered and the patient had a successful recovery.