Spinal trauma with a complete anterior vertebral body dislocation: a report of three cases

Vialle, Raphaël; Rillardon, L.; Feydy, A.; Levassor, N; Lavelle, G; Guigui, P.

doi:10.1038/sj.sc.3102081

Cited by 12 publications

(9 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,8 Although "en bloc" lumbar segmental fracture, 3,16,17 lateral lumbosacral dislocations, 11 and double-level fracture-dislocations lumbosacral spine 12 have been reported, there are no cases in which lateral lumbar dislocations at more than 1 junction have been described. To our knowledge, this is the first case report of the presence of lateral lumbar dislocations in 2 noncontiguous lesions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Two-level traumatic lateral lumbar fracture and dislocation in a heavy equipment operator: a case report

Nakao¹,

Kajino

2013

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: Lumbar fracture-dislocations are rare and invariably due to high-energy trauma. The purpose of this study is to report the surgical management of a man with lateral lumbar dislocations in 2 noncontiguous lesions. Clinical features: A 49-year-old Asian man was crushed by a bulldozer. The patient was transported to a major medical center where he was found to be conscious, and the primary spinal injuries were fracture-dislocation of L1-L2 and L4-L5. His preoperative neurologic status showed a partial paraparesis to all motor groups of the lower extremities bilaterally. His radiological and operative findings showed a rupture of the thoracolumbar fascia and latissimus dorsi muscle, left L1-L2 dislocated facet, right L4-5 facet fracture, and dural tear. Intervention and outcome: The patient underwent a posterior reduction, decompression, instrumentation, and fusion surgery from T12 to S1 with autologous bone graft and pedicle screw instrumentation. Postoperatively, his neurologic status improved, allowing him to be ambulatory using a Lofstrand crutch with improved lumbosacral alignment being well maintained. Two weeks postoperatively, the patient regained voluntary bowel and bladder function. At the 1-year follow-up evaluation, his motor power was full in the left leg; however, sensation to pin prick remained lost on the right L5 and S1 distributions. He continued to ambulate using a Lofstrand crutch. Conclusion: Lateral lumbar fracture-dislocation at 2 noncontiguous levels is an unusual injury that results from high-energy trauma. Prompt recognition of the injuries, reduction of the fracture-dislocations, and posterior stabilization are recommended for neural decompression, spinal alignment, and long-term stabilization.

show abstract

Section: Discussionmentioning

confidence: 99%

“…3 Watson-Jones 4 described the first traumatic spondylolisthesis case in 1940 and about a hundred cases have been reported since then. [5][6][7][8][9][10][11][12] But most of the reported cases are traumatic dislocations at the L5-S1 level. These injuries usually occur at a single level.…”

Section: Introductionmentioning

confidence: 99%

Two-level traumatic lateral lumbar fracture and dislocation in a heavy equipment operator: a case report

Nakao¹,

Kajino

2013

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

“…Complete dislocation of the vertebral column is a rare fracture among fracture dislocations in the vertebral column. 2 …”

Section: Discussionmentioning

confidence: 99%

“…Severe trauma can be responsible for a complete spinal anterior dislocation with a 100% anterior slipping of the vertebral body. 2 Herein we present a case of this very rare and severe lesion.…”

Section: Introductionmentioning

confidence: 92%

Complete traumatic fracture-dislocation L3-L4 of the lumbar spine

Mohammadi¹,

Zandi²

2013

Pak J Med Sci

View full text Add to dashboard Cite

Complete traumatic fracture-dislocation of the lumbar spine is a rare spinal injury often leading to death. Surgical intervention is an effective treatment modality to decrease mortality. Our patient was a 16 year old boy who had a collision caused by fall from a construction material lifter. He was referred to our hospital with waist trauma. Later, the patient underwent posterior surgical decompression during which vertebral column restoration by long segment fixation was performed. After surgery there were no significant changes in the patient condition.

show abstract

“…Nevertheless, fractures/dislocations of the thoracic and lumbar spine are rare, accounting for less than 3% of all spinal injuries (6). Few cases have been reported (32,39,42). Severe spinal fracture/dislocation is defined as fracture combined with greater than 50% displacement of one vertebra in the coronal or sagittal plane (25).…”

Section: Introductionmentioning

confidence: 99%

Single-stage operation for traumatic thoracolumbar fractures with severe dislocation via a posterior approach alone: a case series

Xiong

Li²,

Zhang³

et al. 2012

Turkish Neurosurgery

View full text Add to dashboard Cite

AIm: This study reports a technique for treating severe thoracolumbar fractures with single-stage decompression, reduction, reconstruction, and stabilization via an entirely posterior approach. mAterIAl and methOds:The cases of 11 patients with severe traumatic thoracolumbar fractures/dislocations that were managed with single-stage decompression, reduction, reconstruction, and stabilization via an entirely posterior approach were included. Data on age, sex, mechanism of injury, associated trauma, neurological status, surgical technique, and clinical outcome were reviewed retrospectively. results: Of the 11 patients, two presented with primarily coronal displacement and nine with sagittal displacement. Coronal displacement was corrected from 19% preoperatively to 4.0% at the last follow-up evaluation. Sagittal displacement was reduced from 73.0% preoperatively to 3.0% at the last follow-up evaluation. After a mean follow-up period of 20.7 (range 16-30) months, no patient complained of local pain and no significant loss of correction or hardware failure was observed.COnClusIOn: Our experience proves that the single-stage posterior approach is safe and biomechanically reliable for treating severe thoracolumbar fractures/dislocations. Therefore, the presented technique is an alternative approach for this rare injury.KeywOrds: Thoracolumbar fracture, Severe dislocation, Single-stage, Posterior approach ÖZ AmAÇ: Bu çalışma, tamamen posterior bir yaklaşımla tek evreli dekompresyon, redüksiyon, rekonstrüksiyon ve stabilizasyon ile şiddetli torakolumber kırıkları tedavi etmek için bir tekniği bildirmektedir. yÖntem ve GereÇler: Tamamen posterior yaklaşımla tek evreli dekompresyon, redüksiyon, rekonstrüksiyon ve stabilizasyonla tedavi edilen şiddetli travmatik torakolumber kırık/dislokasyonu olan 11 vaka dahil edilmiştir. Yaş, cinsiyet, yaralanma mekanizması, ilgili travma, nörolojik durum, cerrahi teknik ve klinik sonuçlarla ilgili veriler retrospektif olarak gözden geçirilmiştir.BulGulAr: 11 hasta içinde ikisi primer koronal displasman ve dokuzu sajital displasmanla gelmiştir. Sajital displasman preoperatif olarak %19'dan son takip değerlendirmesinde %4,0'a düzeltilmiştir. Sajital displasman preoperatif olarak %73,0'dan son takip değerlendirmesinde %3,0'a düzeltilmiştir. Ortalama 20,7 (aralık 16-30) aylık takip süresiyle hiçbir hasta yerel ağrıdan yakınmamış ve düzeltmede önemli bir kayıp veya donanımla ilgili başarısızlık gözlenmemiştir. sOnuÇ: Deneyimimiz tek evreli posterior yaklaşımın şiddetli torakolumber kırıklar/dislokasyonlar tedavisinde güvenli ve biyomekanik olarak uyumlu olduğunu göstermiştir. Bu nedenle sunulan teknik bu nadir yaralanma için alternatif bir yaklaşımdır.

show abstract

Spinal trauma with a complete anterior vertebral body dislocation: a report of three cases

Cited by 12 publications

References 7 publications

Two-level traumatic lateral lumbar fracture and dislocation in a heavy equipment operator: a case report

Two-level traumatic lateral lumbar fracture and dislocation in a heavy equipment operator: a case report

Complete traumatic fracture-dislocation L3-L4 of the lumbar spine

Single-stage operation for traumatic thoracolumbar fractures with severe dislocation via a posterior approach alone: a case series

Contact Info

Product

Resources

About