<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-4122</journal-id>
<journal-title><![CDATA[Archivos de neurociencias (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Neurocien. (Mex.)]]></abbrev-journal-title>
<issn>2954-4122</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suárez"]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-41222024000300112</article-id>
<article-id pub-id-type="doi">10.24875/anc.m24000008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Traumatismo raquimedular torácico: un resultado funcional adecuado con manejo quirúrgico oportuno]]></article-title>
<article-title xml:lang="en"><![CDATA[Thoracic spinal cord trauma: an adequate functional outcome with timely surgical management]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Valencia]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís-Pérez]]></surname>
<given-names><![CDATA[José R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaca-Ruiz]]></surname>
<given-names><![CDATA[Miguel Á.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Valencia]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar-Gasca]]></surname>
<given-names><![CDATA[María M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Salud del Estado de México Centro Médico Licenciado Adolfo López Mateos Departamento de Neurocirugía]]></institution>
<addr-line><![CDATA[Toluca ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico ISSEMYM Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Toluca ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ixtlahuaca Programa de Pregrado ]]></institution>
<addr-line><![CDATA[Ixtlahuaca Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>29</volume>
<numero>3</numero>
<fpage>112</fpage>
<lpage>116</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-41222024000300112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-41222024000300112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-41222024000300112&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El trauma raquimedular puede ser una lesión devastadora para el paciente traumático, asociándose a altas tasas de mortalidad y una morbilidad significativa. La fractura de columna cervical es la más común, seguida de la región toracolumbar, pero las fracturas-luxaciones toracolumbares son menos frecuentes. Este tipo de fractura-luxación torácica se asocia con lesión grave de la médula espinal y déficit neurológico completo. Mujer con fractura-luxación a nivel T6-T7 secundaria a una caída de tres metros posterior a derrape en motocicleta. En la exploración física con fuerza en miembros pélvicos 4/5, sin otro déficit neurológico. La tomografía computarizada y la resonancia magnética evidencian una fractura por mecanismo de traslación y rotación, causando lesión tanto de elementos anteriores como del complejo ligamentario posterior, acompañada de fractura esternal que requirió manejo conservador, motivo por el cual se cataloga como tipo C de la AOSpine a nivel de T6-T7 y es tratada con fijación posterolateral. Las fracturas-luxaciones a nivel torácico son raras y requieren manejo quirúrgico debido a la inestabilidad y el déficit neurológico que pueden llegar a presentar. El tratamiento quirúrgico oportuno evita secuelas neurológicas permanentes y conduce a una mejor recuperación neurológica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Spinal cord trauma can be a devastating injury for the trauma patient, being associated with high mortality rates and significant morbidity. Fracture of the cervical spine is the most common, followed by the thoracolumbar region, but thoracolumbar fracture-dislocations are less frequent. Most of these types of fracture-dislocations at the thoracic level are associated with severe spinal cord injury and complete neurological deficit. Female patient with a fracture at level T6-T7 secondary to a fall of 3 meters after motorcycle skid. On physical examination, 4/5 pelvic limbs were strong, with no other neurological deficit. Computed tomography and magnetic resonance imaging show a fracture due to a translation and rotation mechanism, causing injury to both the anterior elements and the posterior ligament complex, accompanied by a sternal fracture that required conservative management, which is why it is classified as a type C of the AOSpine at level T6-T7, treated with posterolateral fixation. Fractures-dislocation at the thoracic level are uncommon and require surgical management due to the instability and neurological deficit that they may present. Timely surgical treatment avoids permanent neurological sequelae and leads to better neurological recovery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Traumatismo raquimedular]]></kwd>
<kwd lng="es"><![CDATA[Fractura toracolumbar]]></kwd>
<kwd lng="es"><![CDATA[TLICS]]></kwd>
<kwd lng="es"><![CDATA[Fijación posterolateral]]></kwd>
<kwd lng="en"><![CDATA[Spinal cord injuries]]></kwd>
<kwd lng="en"><![CDATA[Thoracolumbar fracture]]></kwd>
<kwd lng="en"><![CDATA[TLICS]]></kwd>
<kwd lng="en"><![CDATA[Posterolateral fixation]]></kwd>
</kwd-group>
</article-meta>
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