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Traumatic spondyloptosis resulting from high-energy trauma concurrent with a tonic-clonic seizure.
Spine J 2009 Jan-Feb; 9(1):e1-4SJ

Abstract

BACKGROUND CONTEXT

Traumatic lumbosacral dislocation injuries are rare, high-energy injuries that are challenging to surgically manage.

PURPOSE

To report a patient with a traumatic spondyloptosis of L5 on S1 as a result of bilateral pedicle fractures of L4 and L5 occurring during a motor vehicle accident, concurrent with a tonic-clonic seizure. The mechanism and treatment of the injury are discussed.

STUDY DESIGN

Clinical case report and literature review.

METHODS

A staged circumferential fusion was performed with posterior reduction of L5 to the sacrum and instrumentation and fusion from L2 to the pelvis, followed 12 days later by anterior diskectomies and arthrodesis from L3 to S1.

RESULTS

Near anatomic reduction and solid fusion were obtained and maintained at 3-year follow-up. The patient remained neurologically intact in all lumbosacral roots throughout the course of treatment.

CONCLUSIONS

The injury pattern described is quite rare. This case of multilevel, bilateral pedicle fracture with traumatic L5-S1 spondyloptosis was successfully treated by circumferential reduction and arthrodesis without neurological injury.

Authors+Show Affiliations

Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, OR 97201, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18082467

Citation

Daniels, Alan H., et al. "Traumatic Spondyloptosis Resulting From High-energy Trauma Concurrent With a Tonic-clonic Seizure." The Spine Journal : Official Journal of the North American Spine Society, vol. 9, no. 1, 2009, pp. e1-4.
Daniels AH, Deodhar AA, Hart RA. Traumatic spondyloptosis resulting from high-energy trauma concurrent with a tonic-clonic seizure. Spine J. 2009;9(1):e1-4.
Daniels, A. H., Deodhar, A. A., & Hart, R. A. (2009). Traumatic spondyloptosis resulting from high-energy trauma concurrent with a tonic-clonic seizure. The Spine Journal : Official Journal of the North American Spine Society, 9(1), pp. e1-4.
Daniels AH, Deodhar AA, Hart RA. Traumatic Spondyloptosis Resulting From High-energy Trauma Concurrent With a Tonic-clonic Seizure. Spine J. 2009;9(1):e1-4. PubMed PMID: 18082467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic spondyloptosis resulting from high-energy trauma concurrent with a tonic-clonic seizure. AU - Daniels,Alan H, AU - Deodhar,Atul A, AU - Hart,Robert A, Y1 - 2007/12/21/ PY - 2007/06/08/received PY - 2007/10/01/revised PY - 2007/10/13/accepted PY - 2007/12/18/pubmed PY - 2009/3/19/medline PY - 2007/12/18/entrez SP - e1 EP - 4 JF - The spine journal : official journal of the North American Spine Society JO - Spine J VL - 9 IS - 1 N2 - BACKGROUND CONTEXT: Traumatic lumbosacral dislocation injuries are rare, high-energy injuries that are challenging to surgically manage. PURPOSE: To report a patient with a traumatic spondyloptosis of L5 on S1 as a result of bilateral pedicle fractures of L4 and L5 occurring during a motor vehicle accident, concurrent with a tonic-clonic seizure. The mechanism and treatment of the injury are discussed. STUDY DESIGN: Clinical case report and literature review. METHODS: A staged circumferential fusion was performed with posterior reduction of L5 to the sacrum and instrumentation and fusion from L2 to the pelvis, followed 12 days later by anterior diskectomies and arthrodesis from L3 to S1. RESULTS: Near anatomic reduction and solid fusion were obtained and maintained at 3-year follow-up. The patient remained neurologically intact in all lumbosacral roots throughout the course of treatment. CONCLUSIONS: The injury pattern described is quite rare. This case of multilevel, bilateral pedicle fracture with traumatic L5-S1 spondyloptosis was successfully treated by circumferential reduction and arthrodesis without neurological injury. SN - 1878-1632 UR - https://www.unboundmedicine.com/medline/citation/18082467/Traumatic_spondyloptosis_resulting_from_high_energy_trauma_concurrent_with_a_tonic_clonic_seizure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1529-9430(07)00923-0 DB - PRIME DP - Unbound Medicine ER -