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A 50-Year-Old Coal Miner Was Crouching at the Mine Face

Question 2

Multiple Choice

A 50-year-old coal miner was crouching at the mine face when a large rock suddenly became dislodged from the roof of the mine shaft and struck him on the upper part of his back. The emergency department physician suspected a displacement of the upper thoracic spines on the sixth thoracic spine.
-The following physical signs confirmed a diagnosis of fracture dislocation between the fifth and sixth thoracic vertebrae except which?


A) A lateral radiograph revealed fractures involving the superior articular processes of the sixth thoracic vertebra and the inferior articular processes of the fifth thoracic vertebra.
B) Considerable forward displacement of the body of the fifth thoracic vertebra on the sixth thoracic vertebra occurred.
C) The patient had signs and symptoms of spinal shock.
D) The large size of the vertebral canal in the thoracic region leaves plenty of space around the spinal cord for bony displacement.
E) The patient later showed signs and symptoms of paraplegia.

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