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Surgical management of traumatic thoracic spondyloptosis: review of 2 cases.
J Clin Neurosci 2007; 14(8):770-5JC

Abstract

Spondyloptosis due to trauma is a very rare injury typically associated with motor vehicle accidents and typically at the lumbosacral junction. This report describes two patients with T6-7 and T12-L1 spondyloptosis secondary to trauma. The former was a 36-year-old man who was pinned under a 200 kg hay bale, suffering immediate paraplegia and undergoing successful posterior reduction and stabilization via a single stage posterior approach. Two years after his injury he has not developed any new deformity or neurological deterioration. The latter was a 22-year-old miner who was thrown against the ceiling of a coalmine and suffered a hyperflexion injury resulting in an immediate T12 paraplegia. Again successful reduction and stabilization was able to be achieved through pedicle screw instrumentation via a single-stage posterior approach. These two patients are the first reported cases of traumatic thoracic spondyloptosis. This report describes the rationale, likely mechanisms and surgical technique required for operative reduction and stabilization via a single-stage posterior approach.

Authors+Show Affiliations

SpineNevada, Reno, Nevada 89502, USA. sekhon@spinenevada.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17493819

Citation

Sekhon, Lali H S., et al. "Surgical Management of Traumatic Thoracic Spondyloptosis: Review of 2 Cases." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 14, no. 8, 2007, pp. 770-5.
Sekhon LH, Sears W, Lynch JJ. Surgical management of traumatic thoracic spondyloptosis: review of 2 cases. J Clin Neurosci. 2007;14(8):770-5.
Sekhon, L. H., Sears, W., & Lynch, J. J. (2007). Surgical management of traumatic thoracic spondyloptosis: review of 2 cases. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 14(8), pp. 770-5.
Sekhon LH, Sears W, Lynch JJ. Surgical Management of Traumatic Thoracic Spondyloptosis: Review of 2 Cases. J Clin Neurosci. 2007;14(8):770-5. PubMed PMID: 17493819.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of traumatic thoracic spondyloptosis: review of 2 cases. AU - Sekhon,Lali H S, AU - Sears,William, AU - Lynch,James J, Y1 - 2007/05/09/ PY - 2005/11/16/received PY - 2006/03/09/revised PY - 2006/03/14/accepted PY - 2007/5/12/pubmed PY - 2007/9/1/medline PY - 2007/5/12/entrez SP - 770 EP - 5 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 14 IS - 8 N2 - Spondyloptosis due to trauma is a very rare injury typically associated with motor vehicle accidents and typically at the lumbosacral junction. This report describes two patients with T6-7 and T12-L1 spondyloptosis secondary to trauma. The former was a 36-year-old man who was pinned under a 200 kg hay bale, suffering immediate paraplegia and undergoing successful posterior reduction and stabilization via a single stage posterior approach. Two years after his injury he has not developed any new deformity or neurological deterioration. The latter was a 22-year-old miner who was thrown against the ceiling of a coalmine and suffered a hyperflexion injury resulting in an immediate T12 paraplegia. Again successful reduction and stabilization was able to be achieved through pedicle screw instrumentation via a single-stage posterior approach. These two patients are the first reported cases of traumatic thoracic spondyloptosis. This report describes the rationale, likely mechanisms and surgical technique required for operative reduction and stabilization via a single-stage posterior approach. SN - 0967-5868 UR - https://www.unboundmedicine.com/medline/citation/17493819/Surgical_management_of_traumatic_thoracic_spondyloptosis:_review_of_2_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967-5868(06)00186-X DB - PRIME DP - Unbound Medicine ER -