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Thorax 2004;59:272 doi:10.1136/thx.2003.019257
  • Images in Thorax

Virtual bronchoscopy and 3D spiral CT reconstructions in the management of kyphosis induced tracheal compression

  1. N Moorjani1,
  2. G Conn1,
  3. J S Rahamim1,
  4. N J Ring2
  1. 1Department of Thoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK
  2. 2Department of Radiology, Derriford Hospital, Plymouth PL6 8DH, UK
  1. Correspondence to:
    Mr N Moorjani
    Department of Thoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK; narain.moorjanidoctors.org.uk

    An 85 year old woman presented to the Accident & Emergency department with a fractured neck of humerus. She had a history of severe osteoporosis and was being treated with alendronic acid and calcium carbonate. Physical examination revealed marked kyphosis with a 90 degree forward curvature of the thoracic spine. Following treatment of her humeral fracture with a collar and cuff, she developed stridor and then a respiratory arrest requiring resuscitation and non-invasive positive pressure ventilation. On further questioning the patient …

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