Spontaneous Fusion of S2/S3 Spondyloptosis in an Adult

Vahedi, Payman; Rymarczuk, George N.; Gillick, John L.; Tubbs, R. Shane; Wilson, Jefferson R.; Prasad, Srinivas

doi:10.1016/j.wneu.2017.10.001

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…3 Three other cases of an adult with sacral spondyloptosis have been reported in the literature, only one of which was treated surgically. 2,4,5 Management of spondyloptosis is dependent on (1) the duration of time that has passed following traumatic injury and (2) the extent of the neurological deficit. A report of sacral spondyloptosis in a 27year-old female athlete revealed complete fusion of the posterior aspect of S2 with the anterior aspect of S3 within 5 years following trauma without surgical intervention, as the injury went unnoticed with no neurological deficits and minimal pain was experienced by the patient.…”

Section: Discussionmentioning

confidence: 99%

“… 3 Three other cases of an adult with sacral spondyloptosis have been reported in the literature, only one of which was treated surgically. 2 , 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

“…A report of sacral spondyloptosis in a 27-year-old female athlete revealed complete fusion of the posterior aspect of S2 with the anterior aspect of S3 within 5 years following trauma without surgical intervention, as the injury went unnoticed with no neurological deficits and minimal pain was experienced by the patient. 4 However, spondyloptosis with neural sparing is extremely rare, and realignment may or may not lead to partial recovery of function. 1 , 6 Mishra et al 2 reported a case of spondyloptosis of S1 over S2 with a concomitant burst fracture at L2 in a 27-year-old female following a car accident, resulting in complete paraplegia.…”

Section: Discussionmentioning

confidence: 99%

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Management of traumatic sacral spondyloptosis: illustrative case

Tracz

Judy

Sacino

et al. 2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Grade V spondylolisthesis, or spondyloptosis, is a complication of high-energy trauma that is most commonly reported at the lumbosacral junction. Sacral intersegmental spondyloptosis is extremely rare. The authors present a case of spondyloptosis of S1 on S2 with a comminuted fracture of S2 and complex fractures of the L4 and L5 transverse processes, resulting in severe stenosis of the lumbosacral nerve roots. OBSERVATIONS The patient was a 70-year-old woman with a history of a fall 3 weeks prior and progressive L5 and S1 radiculopathy. Instrumentation and fusion were undertaken, extending from L3 to the pelvis because degenerative stenosis at L3–4 and L4–5 was also found. Reduction was achieved, leading to diminished pain and partial resolution of weakness. LESSONS Traumatic sacral spondyloptosis adds a degree of difficulty to reduction, fixation, and fusion. The technique presented herein achieved sagittal realignment via a distraction maneuver of S1–2 in which rods were attached to bilateral dual S2 alar-iliac screws with reduction screws placed at S1, ultimately pulling L5 and S1 up to the rod for fixation.

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Section: Discussionmentioning

confidence: 99%

“… 3 Three other cases of an adult with sacral spondyloptosis have been reported in the literature, only one of which was treated surgically. 2 , 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of traumatic sacral spondyloptosis: illustrative case

Tracz

Judy

Sacino

et al. 2022

Journal of Neurosurgery: Case Lessons

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“…A non-traumatic progressive disruption of two adjacent vertebrae is classified according to the Meyerding classification caused by the slippage of the spinal column. In contrast, in traumatic cases, a disruption of the posterior ligament-osseous structures occurs [ 1 ]. Based on a literature review determined that 85%-95% of the cases of spondylolysis and spondylolisthesis develop at the level of the L5 vertebrae and 5%-15% at the level of the L4 vertebrae, with no correlation detected between spinal level and grade of spondylolisthesis [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Fusion of L5/S1 Spondylolisthesis in an Elderly Female: A Case Report

Alghamdi¹,

Khan²,

Hamad³

et al. 2022

Cureus

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We report a case of a 65-year-old female presenting with an Anterolisthesis grade I, L5-S1. With a history of lower back pain that started two years ago with weak big toe extension. CT scan revealed that There is anterolisthesis grade I, L5-S1. No pars defect was seen, and degenerative changes in the bilateral facet joint L5-S1, with narrow joint space & sclerosis. The patient underwent conservative management to strengthen and stretch her back muscles for three months and had spontaneous fusion develop at an unstable level with relief of symptoms after nonoperative treatment.

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