Mid-lumbar traumatic spondyloptosis without neurological deficit
| Autor: | Congcong Zou, Yi Liu, Mengjie Yan, Liyu Yao, Zhisen Tian, Feng Xu, Yuanyi Wang, Changfeng Fu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General Medicine medicine.disease Spondylolisthesis Posterior column Ischial tuberosity Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Lumbar 030220 oncology & carcinogenesis Fracture fixation medicine Internal fixation Spinal canal 030212 general & internal medicine business Spinal cord injury |
| Zdroj: | Medicine. 99:e19578 |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Introduction Spondyloptosis is a form of vertebral dislocation and the most advanced form of spondylolisthesis. Traumatic spondyloptosis is usually caused by high-energy impact and results in unstable spine deformity and spinal canal deformation, which lead to severe spinal cord injury. Traumatic spondyloptosis is mostly reported in the lumbo-sacral junction, while it is rarely documented in mid-lumbar segments. To the best of the authors' knowledge, only 16 cases of mid-lumbar spondyloptosis have been described previously. Herein, we present a L3 to L4 spondyloptosis case that did not involve neurological deficit. Patient concerns A 42-year-old man presented to the emergency department after an accident involving a fall. The patient developed severe back pain and spinal deformity, while his neurologic function remained intact. Radiological examinations indicated complete posterior vertebral dislocation at L3 to L4 and a fracture at the bilateral pelvic ischial tuberosity without major vessel injury or severe dura sac compression. Diagnoses L3 to L4 complete vertebral dislocation, pelvic ischial tuberosity fracture. Interventions For treatment, the patient underwent fracture reduction, L3 to L4 intervertebral fusion, and internal fixation 7 days post-injury. Outcomes Postoperative digital radiography showed the correction of the spinal deformity. The patient was pain-free and fully rehabilitated 3 months after the surgery. At the 1-year follow-up, the patient was completely asymptomatic and had achieved normal alignment. Conclusions We reported an L3 to L4 traumatic spondyloptosis case that involved intact neurology, which is the first-ever reported mid-lumbar spondyloptosis case that involved complete posterior column and neural sparing. For the treatment of traumatic spondyloptosis without neurological deficit, restoring stability and preventing secondary cord injury should be taken into consideration. |
| Databáze: | OpenAIRE |
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