Skip to main content

Thoracic Spine Fracture in a Survivor of Out-of-Hospital Cardiac Arrest with Mechanical CPR

  • Robert Trevor Marshall (a1), Hemang Kotecha (a2), Takuyo Chiba (a3) and Joseph Tennyson (a3)

This is a report of a thoracic vertebral fracture in a 79-year-old male survivor of out-of-hospital cardiac arrest with chest compressions provided by a LUCAS 2 (Physio-Control Inc.; Lund Sweden) device. This is the first such report in the literature of a vertebral fracture being noted in a survivor of cardiac arrest where an automated compression device was used.

Marshall RT , Kotecha H , Chiba T , Tennyson J . Thoracic Spine Fracture in a Survivor of Out-of-Hospital Cardiac Arrest with Mechanical CPR. Prehosp Disaster Med. 2016;31(6):684686.

Corresponding author
Correspondence: Robert Trevor Marshall, MD Clinical Assistant Professor of Emergency Medicine Department of Emergency Medicine Stony Brook University 101 Nicolls Rd HSC Level 4 Room 080 Stony Brook, New York 11794 USA E-mail:
Hide All
1. Black, CJ, Busuttil, A, Robertson, C. Chest wall injuries following cardiopulmonary resuscitation. Resuscitation. 2004;63(3):339-343.
2. Goldberg, RM, Rowan, L, Anderson, RE. Thoracic vertebral fracture as a complication of cardiopulmonary resuscitation. J Emerg Med. 1988;6(3):177-178.
3. Pinto, DC, Haden-Pinneri, K, Love, JC. Manual and automated cardiopulmonary resuscitation (CPR): a comparison of associated injury patterns. J Forensic Sci. 2013;58(4):904-909.
4. Steen, S, Liao, Q, Pierre, L, Paskevicius, A, Sjoberg, T. Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation. 2002;55(3):285-299.
5. Smekal, D, Johansson, J, Huzevka, T, Rubertsson, S. A pilot study of mechanical chest compressions with the LUCAS device in cardiopulmonary resuscitation. Resuscitation. 2011;82(6):702-706.
6. Hoke, RS, Chamberlain, D. Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation. 2004;63(3):327-338.
7. Giraud, R, Siegenthaler, N, Schussler, O, et al. The LUCAS 2 chest compression device is not always efficient: an echographic confirmation. Ann Emerg Med. 2015;65(1):23-26.
8. Lederer, W, Mair, D, Rabl, W, Baubin, M. Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray. Resuscitation. 2004;60(2):157-162.
9. Smekal, D, Johansson, J, Huzevka, T, Rubertsson, S. No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the LUCAS device—a pilot study. Resuscitation. 2009;80(10):1104-1107.
10. Smekal, D, Lindgren, E, Sandler, H, Johansson, J, Rubertsson, S. CPR-related injuries after manual or mechanical chest compressions with the LUCAS device: a multicenter study of victims after unsuccessful resuscitation. Resuscitation. 2014;85(12):1708-1712.
11. Lardi, C, Egger, C, Larribau, R, Niquille, M, Mangin, P, Fracasso, T. Traumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS 2): a forensic autopsy study. Int J Legal Med. 2015;129(5):1035-1042.
12. Buschmann, C, Tsokos, M. Frequent and rare complications of resuscitation attempts. Intensive Care Med. 2009;35(3):397-404.
13. Hashimoto, Y, Moriya, F, Furumiya, J. Forensic aspects of complications resulting from cardiopulmonary resuscitation. Leg Med (Tokyo). 2007;9(2):94-99.
14. Azuma, SS, Mashiyama, ET, Goldsmith, CI, Abbasi, AS. Chest compression-induced vertebral fractures. Chest. 1986;89(1):154-155.
15. Jeong, YG, Caccamo, LP. Letter: cardiac resuscitation and vertebral fracture. JAMA. 1975;234(12):1223.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed