Treatment strategy on traumatic mid-lumbar spondyloptosis with concomitant multiple injuries: A case report and literature review

Cheng, Lin; Cheng, Qiuming; Liu, Xinyu; Sang, Xiguang

doi:10.1016/j.cjtee.2022.06.006

Cited by 2 publications

(3 citation statements)

References 31 publications

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“…In 2016, Adelved et al ( 16 ) reported that the rate of neurologic deficits corresponding to L5 and sacral roots in patients with lumbosacral dislocation was 84.6% (11/13). Some reports suggested that the time of decompression, the grade of slip, and the degree of neurologic deficits before operation are the main factors affecting the recovery of neurologic function ( 2 , 4 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic lumbosacral spondyloptosis is a very rare spinal disease caused by highenergy trauma and it is defined as 100% or greater displacement of S1 vertebral body over the L5 vertebral body in the coronal or sagittal plane to an injury; the majority of cases will lead to serious cauda equina injuries and dural tear (1)(2)(3)(4). Although traumatic lumbosacral spondyloptosis cases are rarely described in clinical practice, this injury still needs to be emphasized in consideration of the severe clinical manifestations and poor prognosis due to the complete loss of spinal column alignment (2).…”

Section: Introductionmentioning

confidence: 99%

“…Although traumatic lumbosacral spondyloptosis cases are rarely described in clinical practice, this injury still needs to be emphasized in consideration of the severe clinical manifestations and poor prognosis due to the complete loss of spinal column alignment ( 2 ). According to the Meyerding classification, traumatic lumbosacral spondyloptosis is described as grade V spondylolisthesis, in which imaging findings showed a subluxation of >100% of adjacent vertebral bodies ( 4 ). Once diagnosed, surgical treatment should be performed as soon as possible if there is no obvious contraindication for surgical intervention ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

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Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process

et al. 2023

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BackgroundTraumatic lumbosacral spondyloptosis is a very rare spinal disease caused by high-energy trauma. We report a case of traumatic lumbosacral spondyloptosis with locked L5 inferior articular process.Case presentationA 33-year-old man presented with multisite pain for 6 h following waist trauma and was admitted to the hospital. He suffered multiple injuries from severe impact on the waist after driving an out of control forklift truck. Preoperative imaging examinations revealed that the patient was diagnosed with traumatic lumbosacral spondyloptosis and the L5 inferior articular process was locked into the anterior margin of the S1 vertebra. A posterior instrumentation, decompression of the cauda equina, and interbody fusion procedure was performed. The patient received hyperbaric oxygen and rehabilitation treatment 10 days after the surgery. At the 6-month postoperative follow-up, the muscle strength of the lower limbs was improved, the patient had no numbness of both lower limbs, and the urinary retention symptom was significantly improved. The American Spinal Injury Association grade improved from grade C preoperatively to grade D postoperatively. As far as we know, there have been no relevant reports on traumatic lumbosacral spondyloptosis with locked L5 inferior articular process yet.ConclusionWe believe that the hyperflexion and shear forces were the potential causes of this injury. In addition, the preoperative imaging examinations should be evaluated carefully. If the inferior articular process of L5 were locked, we suggest removing the bilateral inferior articular processes first and then perform reduction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process

et al. 2023

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Traumatic Lateral Spondyloptosis of the Lumbar Spine: A Case Series and Comprehensive Literature Review

Miller MD,

Lesha MD,

Roach MS

et al. 2024

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Introduction: Lateral spondyloptosis of the lumbar spine is a rare and devastating form of traumatic spinal injury. Given the paucity of lumbar lateral spondyloptosis case reports in the literature, the authors seek to inform readers of the clinical, radiological, and operative considerations for three patients with this uncommon clinical presentation, as well as provide a comprehensive review of the literature on this topic. Methods: A retrospective chart review of three patients admitted to Regional One Health Elvis Presley Memorial Trauma Center in Memphis, TN, with traumatic lateral spondyloptosis of the lumbar spine over a three-year period was performed. We also conducted a comprehensive review of the literature on traumatic lateral lumbar spondyloptosis. Results: Three cases of traumatic lateral lumbar spondyloptosis were identified. Clinical presentation, radiographic findings, and operative considerations are presented. Conclusions: Traumatic lateral lumbar spondyloptosis is a rare form of translation injury associated with severe neurological deficits. Our experience and thorough literature review broadly advocate for early surgical intervention in these patients. Regardless of whether a neurologic exam is presented, this management strategy may improve neurologic motor outcomes.

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Treatment strategy on traumatic mid-lumbar spondyloptosis with concomitant multiple injuries: A case report and literature review

Cited by 2 publications

References 31 publications

Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process

Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process

Traumatic Lateral Spondyloptosis of the Lumbar Spine: A Case Series and Comprehensive Literature Review

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