@article{Vega Peña_Dueñas_Riscanevo Bobadilla_2020, title={Scapulothoracic dissociation and blunt vertebral vascular injury: case report.}, volume={51}, url={https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4386}, DOI={10.25100/cm.v51i3.4386}, abstractNote={<div id="idm140571009278320" class="sec sec-first"> <h3 id="idm140571009278320title">Case Description:</h3> <p id="idm140571009277936" class="p p-first-last">A 24-year-old male suffers from a motor vehicle accident with penetrating neck trauma and concomitant closed left cervicothoracic trauma.</p> </div> <div id="idm140571009277520" class="sec"> <h3 id="idm140571009277520title">Clinical Findings:</h3> <p id="idm140571009277136" class="p p-first-last">High impact trauma causing hypovolemic shock, left zone I penetrating neck trauma, ischemia due to blunt trauma to the axillary vessels, and brachial plexus injury. Transection of the vertebral artery on angiotomography. Diagnosed with scapulothoracic dissociation and vertebral artery trauma.</p> </div> <div id="idm140571009276576" class="sec"> <h3 id="idm140571009276576title">Treatment and outcome:</h3> <p id="idm140571010187232" class="p p-first-last">Axillary arteriovenous reconstruction, fasciotomies, non-surgical approach of the vertebral artery trauma, and deferred treatment of the brachial plexus trauma were performed. Survival of the patient and his limb, with major neurologic sequelae</p> </div> <div id="idm140571010186720" class="sec sec-last"> <h3 id="idm140571010186720title">Clinical Relevance:</h3> <p id="idm140571010186336" class="p p-first-last">The case presented here is an example of scapulothoracic dissociation with associated trauma to the vertebral artery, injuries that are uncommon and associated with high morbidity and mortality. Early recognition of the injuries and a multidisciplinary approach for this complex case by surgical board reviews at various levels within the course of care were key determinants in the patient’s improved prognosis. This case report presents an analysis of the diagnostics, treatment, and course; considering in-hospital care and the decision-making process as determinants for the prognosis in a polytrauma patient.</p> </div>}, number={3}, journal={Colombia Medica}, author={Vega Peña, Neil Valentin and Dueñas, Manuel Riveros and Riscanevo Bobadilla, Angie Carolina}, year={2020}, month={Sep.}, pages={e–504386} }