Post-traumatic c7-t1 spondyloptosis in a patient without neurological deficit: a case report

Açikbas, Cem; Gürkanlar, Doğa

doi:10.5137/1019-5149.jtn.1991-09.3

Cited by 14 publications

(12 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[11] In certain cases, patients presented with a partial or complete spinal cord injury but a normal neurological exam. [1248910111213] The incidence of spondyloptosis at the C6–7 or C7–1 level is more common than that at all other levels combined.…”

Section: Discussionmentioning

confidence: 99%

Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends

Wong¹,

Chang²,

Monasky³

et al. 2017

Surg Neurol Int

View full text Add to dashboard Cite

Background:Cervical spondyloptosis is defined as the dislocation of the spinal column most often caused by trauma. Due to compression or transection of the spinal cord, severe neurological deficits are common. Here, we review the literature and report a case of traumatic C5–6 spondyloptosis that was successfully treated using an anterior-only surgical approach.Methods:The patient presented with quadriplegia and absent sensation distal to the C5 dermatome following a rollover motor vehicle accident. The preoperative American Spinal Injury Association Impairment Scale was A. Computed tomography of the cervical spine revealed C5–6 spondyloptosis, lamina fractures on the right side at the C3–4 level, and widened facet joint on the right side at C6–7.Results:The patient underwent cervical traction and anterior cervical discectomy and fusion at the C5–6, C6–7 levels; no 360° fusion was warranted. Six months postoperatively, the patient remained quadriplegic below the C5 level.Conclusion:Presently, no consensus is present regarding the best treatment for spondyloptosis. Worldwide, the 360° approach is the most commonly used (45%), followed by anterior-only surgery (31%) and posterior-only surgery (25%). The surgical choice depends upon patient-specific features but markedly varies among geographical regions.

show abstract

Section: Discussionmentioning

confidence: 99%

Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends

Wong¹,

Chang²,

Monasky³

et al. 2017

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

“…We studied 11 cases of traumatic cervical spondyloptosis in the subaxial cervical spine (Table 1), and reviewed the literature, which largely consists of isolated case reports. Our three cases were added to this list to help understand the clinical features and formulate management strategies for this rare condition (Table 2) [123456789]. Analysis was carried out in terms of the neurological status on presentation, level involved, method of reduction, whether surgery was performed or not, and the complications faced during the management of each of these cases.…”

Section: Methodsmentioning

confidence: 99%

Traumatic Cervical Spondyloptosis of the Subaxial Cervical Spine: A Case Series with a Literature Review and a New Classification

2016

View full text Add to dashboard Cite

Study DesignThis is a retrospective study on patients with traumatic subaxial cervical spondyloptosis and includes a review of the available literature regarding the management of this injury.PurposeThis study aimed to assess the biomechanics and varied clinical presentations of this rare but devastating injury.Overview of LiteratureThis is a case series of three patients and a review of the available literature on subaxial cervical spondyloptosis. Traumatic cervical spondyloptosis of the subaxial spine is rare, with varied clinical presentations.MethodsThe management of cervical subaxial spondyloptosis represents a challenge to all spine care specialists, and there is a paucity of literature on the best methods for managing this condition. Our experience includes three such patients who visited our tertiary trauma center. This article explains the diverse clinical features of the injury as well as the management of these patients and includes a review of the available literature.ResultsSubaxial cervical spondyloptosis is a devastating injury with diverse clinical features. We present a classification of these fractures based on clinical presentation and magnetic resonance imaging results, which can help in decision-making regarding the management of such patients.ConclusionsThis article may help physicians assess this injury in an evidence-based manner and also elucidates the management strategies available for such patients.

show abstract

“…In the case we reported, in spite of severe vertebral fracture and displacement, neurologic injury was not present at all. In a similar case reported by Acikbas and Gurkanlar, a post-traumatic C7-T1 spondyloptosis was happened in a patient without any neurologic deficit ( 8 ). They suggested the reason for this discrepancy between the pattern of injury and clinical finding is due to separation of anterior and posterior vertebral elements leaving the vertebral canal even broader.…”

Section: Discussionmentioning

confidence: 73%

Intrapelvic Lumbosacral Fracture Dislocation in a Neurologically Intact Patient: A Case Report

2015

View full text Add to dashboard Cite

Introduction:Lumbosacral fracture dislocation is a rare entity mainly occurred in high-energy trauma accidents. In this unstable injury, anatomical separation of the spinal column from pelvis is usually associated with severe neurological deficits.Case Presentation:We described a 16-year-old girl with extremely severe axial trauma to the lumbosacral spine who presented with fracture dislocation of the lumbosacral spine and its intrusion to the pelvic space. Despite violent lumbosacral joint dissociation on imaging studies, the patient was neurologically intact. She was treated with spinopelvic fusion and instrumentation.Conclusions:Although spinopelvic fracture dislocation injuries are severe high-energy entities, in cases with traumatic spondylolytic spondylolisthesis due to widening of the vertebral canal, neurologic deficit may not be seen at all.

show abstract

Post-traumatic c7-t1 spondyloptosis in a patient without neurological deficit: a case report

Cited by 14 publications

References 14 publications

Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends

Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends

Traumatic Cervical Spondyloptosis of the Subaxial Cervical Spine: A Case Series with a Literature Review and a New Classification

Intrapelvic Lumbosacral Fracture Dislocation in a Neurologically Intact Patient: A Case Report

Contact Info

Product

Resources

About