Upper sympathetic trunk lesion after video-assisted fracture stabilization of the thoracic spine: A case report

Boris Zelle, Johannes Zeichen, Hans Christoph Pape, Karin Weissenborn, Christian Krettek

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

This case report draws attention to the upper sympathetic trunk lesion as a complication of video-assisted thoracic spine surgery. A 39-year-old man developed an upper sympathetic trunk lesion after right-sided thoracoscopic fracture stabilization of T5 and T6. Dizziness and reduced perspiration persisted at the most recent follow-up 8 months after surgery. This rare complication can be overlooked and remain undiagnosed. Diagnosis is based on clinical symptoms and neurologic examination. There are no treatment options. Symptoms can be bothersome for the patient and may persist. In the upper thoracic spine, the course of the sympathetic trunk lies in close proximity of the vertebral bodies; thus, care must be taken to avoid it when resecting the posterior parts of the vertebral body.

Original languageEnglish (US)
Pages (from-to)502-506
Number of pages5
JournalJournal of Spinal Disorders and Techniques
Volume15
Issue number6
DOIs
StatePublished - Dec 2002
Externally publishedYes

Keywords

  • Spinal fracture stabilization
  • Thoracoscopy
  • Upper sympathetic trunk lesion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Upper sympathetic trunk lesion after video-assisted fracture stabilization of the thoracic spine: A case report'. Together they form a unique fingerprint.

Cite this