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