Management of Traumatic Cervical Spondyloptosis

Singh, Harbans; Garg, Kanwaljeet; Agrawal, Deepak

doi:10.1055/s-0040-1722554

Cited by 3 publications

(12 citation statements)

References 18 publications

(31 reference statements)

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“…These disagreements range from initial investigations to definitive management plans. The patient's neurological status, the severity of radiographic findings, and the reduction status of the dislocation are the most important factors to consider [5,12,18]. Moreover, the rarity of C7-T1 spondyloptosis without neurologic injury further complicates the management approach since there are few reported cases in the literature of cervicothoracic spondyloptosis [6][7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…A summary and comparisons of the literature on acute traumatic cervicothoracic (C7-T1) spondyloptosis among neurologically intact/ASIA E adult patients are shown in Table 1. Management approaches range from single versus double versus triple surgical options, either within the same session or more than one session, with preoperative reduction or without [5]. Most cases reviewed in the literature preferred a combined approach [6][7][8][9][10]13].…”

Section: Discussionmentioning

confidence: 99%

“…Several authors proposed an algorithm for the treatment of cervical spondyloptosis to aid in decisionmaking when facing such an uncommon case [5,12,20]. After obtaining CT and MRI images, Dahdaleh et al…”

Section: Discussionmentioning

confidence: 99%

“…Among those, only 12 cases described traumatic cervicothoracic spondyloptosis without any neurological deficit/ASIA grade E within the English literature [6][7][8][9][10][11][12][13][14]. To date, there is no consensus on the management of these complicated cases [5,12].…”

Section: Introductionmentioning

confidence: 99%

“…Among those, cervical spondyloptosis is the most severe type of spondylolisthesis, which when associated with significant neurological deficit leads to devastating consequences, including quadriplegia, respiratory disorders, vertebral artery injury, and death [ 4 ]. It is a highly unstable three-column injury that requires immediate reduction and stabilization [ 5 ]. Rai et al reported a total of 47 cases of traumatic cervical spondyloptosis with a 19% incidence of complete cord injury and an American Spinal Injury Association (ASIA) grade A classification, up until 2021 [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Surgical Management of Traumatic Cervicothoracic Junction Spondyloptosis Without Neurological Injury: A Case Report and Review of the Literature

Alharbi¹,

Alsager²,

Abdulaziz³

et al. 2022

Cureus

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Acute traumatic cervical spondyloptosis in neurologically intact patients is uncommon and involvement of the cervicothoracic junction is rare. Herein, we report a case of traumatic C7-T1 spondyloptosis in a 56-yearold neurologically intact male patient, with radiographic findings of C7-T1 grade V traumatic listhesis associated with C7 floating segment, cord compression with myelomalacia, extensive ligamentum injury, and intervertebral disc traumatic change and protrusion. He underwent global spine fixation starting with a posterior approach. Follow-up at six months showed good outcomes. The patient was neurologically intact and pain-free; radiographs showed well-maintained fusion and alignment. Controversy surrounds the management of cervical fracture dislocation from all aspects, from "when" to "what." This is the first case reporting a 540° posterior-anterior-posterior approach with successful outcomes. The rarity of cervical spondyloptosis without neurologic injury complicates the management approaches. As few cases are reported in cervicothoracic spondyloptosis literature, it is important to report the present case.

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