Case ReportUpper Sympathetic Trunk Lesion After Video-Assisted Fracture Stabilization of the Thoracic Spine: A Case ReportZelle, Boris*; Zeichen, Johannes*; Pape, Hans-Christoph*; Weissenborn, Karin†; Krettek, Christian*Author Information Departments of *Trauma Surgery and †Neurology, Medical School of Hannover, Hannover, Germany Received June 14, 2002; accepted September 24, 2002. Address for correspondence and reprint requests to Dr. Boris Zelle, 327 McKee Place, Pittsburgh, PA 15213 U.S.A. E-mail: [email protected] Journal of Spinal Disorders & Techniques: December 2002 - Volume 15 - Issue 6 - p 502-506 Buy Abstract This case report draws attention to the upper sympathetic trunk lesion as a complication of video-assisted thoracic spine surgery. A 39-year-old man developed an upper sympathetic trunk lesion after right-sided thoracoscopic fracture stabilization of T5 and T6. Dizziness and reduced perspiration persisted at the most recent follow-up 8 months after surgery. This rare complication can be overlooked and remain undiagnosed. Diagnosis is based on clinical symptoms and neurologic examination. There are no treatment options. Symptoms can be bothersome for the patient and may persist. In the upper thoracic spine, the course of the sympathetic trunk lies in close proximity of the vertebral bodies; thus, care must be taken to avoid it when resecting the posterior parts of the vertebral body. © 2002 Lippincott Williams & Wilkins, Inc.