Survived spondyloptosis of the thoracic spine in the Early Middle Ages (Czech Republic)

Kalová, Kateřina; Drozdová, Eva; Smrčka, Václav

doi:10.1016/j.jchb.2012.12.001

Cited by 3 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most commonly, thoracic spondyloptosis occurs in the sagittal plane, with the upper vertebral bodies usually seen in front of the lower vertebral bodies. Posterior and lateral spondylolisthesis are rarely described in the literature [10][11][12]. The etiology of this ailment exhibits a spectrum of contributing factors, including perinatal trauma, congenital malformations, calcified defects in the pars interarticularis, neoplastic pathologies like neurofibromatosis or aneurysmal bone cyst, as well as traumatic incidents such as vehicular collisions or diving-related trauma.…”

Section: A a B B C C D D A A B B C C D Dmentioning

confidence: 99%

Partial Vertebrectomy in Neglected Spondyloptosis at the T10–11 Level: A Case Report

Priambodo,

Dahlan,

Ompusunggu

2024

J Minim Invasive Spine Surg Tech

View full text Add to dashboard Cite

Our objective was to document the surgical results from a case and conduct a retrospective analysis of partial vertebrectomy in neglected spondyloptosis at the T10–11 level. Traumatic spondyloptosis is a severe and rare spinal cord injury. In spondyloptosis, there is a traumatic subluxation of adjacent vertebral bodies that exceeds the normal anatomical limits. The thoracic vertebrae possess a rigid skeleton, and the sternum also contributes to maintaining stability in the upper-middle chest area. Therefore, instances of spondyloptosis in the thoracic spine are exceedingly rare. Thoracic spondyloptosis typically results in neurological deficits. A 45-year-old man presented to the neurosurgery outpatient clinic complaining of weakness of lower extremities, back pain, headache, and vomiting. The patient was hospitalized for 7 days, and he was diagnosed with neglected spondyloptosis based on a computed tomography scan. The patient was treated using laminectomy decompression, bilateral facetectomy, partial vertebrectomy, and posterior stabilization. Management in cases of spondyloptosis has the aim of reduction, alignment, and stabilization. Early surgery with reduction and rigid stabilization is preferable to conservative treatment in most cases. The surgical approach can be anterior, posterior, or combined, without significant differences. Vertebrectomy is performed to remove part of the vertebral body to reduce spinal cord pressure. Thoracic spondyloptosis is a very rare but severe type of spinal cord injury. Neurological deficits are common in patients with this condition. Early management involving reduction and stabilization is generally recommended to obtain a better outcome.

show abstract

Section: A a B B C C D D A A B B C C D Dmentioning

confidence: 99%