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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C. y de la Sociedad Iberolatinoamericana de Columna. SILACO.

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2026, Number 2

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Cir Columna 2026; 4 (2)

Rhabdomyolysis, an entity little commented: regarding a case of fracture-dislocation of the thoracic spine type C (T11-T12) managed with 4-level transpedicular instrumentation

Ortiz HFÁ, Andrade GDG, Córdova FJE, Casas ES, Diaz VJA

Language: Spanish
References: 15
Page: 145-151
PDF size: 1658.82 Kb.


ABSTRACT

Introduction: type C spinal fracture-dislocations represent high-energy injuries characterized by severe biomechanical instability and a high risk of neurological compromise. The associated severe trauma can trigger complications such as rhabdomyolysis secondary to muscle necrosis with the release of myoglobin into the bloodstream. Evidence regarding this association is limited, making its analysis relevant for optimizing the comprehensive management of this condition. Case presentation: a retrospective evaluation was conducted of a case of thoracic spine fracture-dislocation (T11-T12) in a patient treated at the Metropolitan Hospital. The patient was managed according to the AO/ASIF algorithms and with surgical instrumentation. During admission and follow-up, she developed rhabdomyolysis, which was treated according to the American Society for Critical Care Surgery and Trauma guidelines. Serial metabolic studies were performed from admission to discharge. Results: the evolution of rhabdomyolysis and treatment with fluid therapy showed a progressive decrease in CPK levels, achieving adequate remission before discharge. Measurements ranging from 2,158 to 646 U/l were included in the initial CPK data, in addition to varying the saline infusion rate. Conclusions: the association of rhabdomyolysis in cases of traumatic spinal cord injury was determined specifically for this study in cases of thoracic spine type C (T11-T12). Therefore, a multidisciplinary approach is required for adequate treatment and subsequent management of this condition, thus achieving satisfactory clinical outcomes and achieving a full patient recovery.


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