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Traumatic spondyloptosis of the thoracolumbar spine.
J Neurosurg Spine 2008; 9(2):145-51JN

Abstract

OBJECT

Traumatic Grade V thoracolumbar spondylolisthesis, or traumatic spondyloptosis (severe translation injuries), are uncommon spinal injuries. To the best of the authors' knowledge, this article represents the first reported case series of these unique spinal lesions.

METHODS

The authors undertook a retrospective review of a tertiary care regional spinal cord injury patient population treated over a 10-year period (1997-2007). They analyzed data regarding age, sex, mechanism of injury, neurological status, and treatment.

RESULTS

Five patients were identified (3 men and 2 women) with ages ranging from 17 to 44 years. All patients had sustained high-energy closed spinal injuries: 3 motor vehicle accidents, 1 injured in a building collapse, and 1 hurt by a fallen steel beam. Four patients, all with sagittal-plane spondyloptosis, had a complete neurological deficit (American Spinal Injury Association [ASIA] Grade A), and 1, with coronal-plane spondyloptosis, presented with an incomplete neurological deficit (ASIA Grade C). Four patients had sustained concurrent multisystem trauma. All patients underwent surgery: an isolated posterior fusion in 2 and combined posterior-anterior fusion in 3. Only the patient with an incomplete neurological deficit (coronal-plane spondyloptosis) recovered neurological function postoperatively.

CONCLUSIONS

Traumatic thoracolumbar junction spondyloptosis is rare. Surgical reconstruction and stabilization allow for early mobilization and rehabilitation. In the present series, a patient with coronal-plane spondyloptosis presented with preserved neurological function. This may be due to the result of differences in resultant neurological compression due to displacement mechanics compared with sagittally displaced injuries.

Authors+Show Affiliations

Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18764746

Citation

Yadla, Sanjay, et al. "Traumatic Spondyloptosis of the Thoracolumbar Spine." Journal of Neurosurgery. Spine, vol. 9, no. 2, 2008, pp. 145-51.
Yadla S, Lebude B, Tender GC, et al. Traumatic spondyloptosis of the thoracolumbar spine. J Neurosurg Spine. 2008;9(2):145-51.
Yadla, S., Lebude, B., Tender, G. C., Sharan, A. D., Harrop, J. S., Hilibrand, A. S., ... Ratliff, J. K. (2008). Traumatic spondyloptosis of the thoracolumbar spine. Journal of Neurosurgery. Spine, 9(2), pp. 145-51. doi:10.3171/SPI/2008/9/8/145.
Yadla S, et al. Traumatic Spondyloptosis of the Thoracolumbar Spine. J Neurosurg Spine. 2008;9(2):145-51. PubMed PMID: 18764746.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic spondyloptosis of the thoracolumbar spine. AU - Yadla,Sanjay, AU - Lebude,Bryan, AU - Tender,Gabriel C, AU - Sharan,Ashwini D, AU - Harrop,James S, AU - Hilibrand,Alan S, AU - Vaccaro,Alexander R, AU - Ratliff,John K, PY - 2008/9/4/pubmed PY - 2008/9/27/medline PY - 2008/9/4/entrez SP - 145 EP - 51 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 9 IS - 2 N2 - OBJECT: Traumatic Grade V thoracolumbar spondylolisthesis, or traumatic spondyloptosis (severe translation injuries), are uncommon spinal injuries. To the best of the authors' knowledge, this article represents the first reported case series of these unique spinal lesions. METHODS: The authors undertook a retrospective review of a tertiary care regional spinal cord injury patient population treated over a 10-year period (1997-2007). They analyzed data regarding age, sex, mechanism of injury, neurological status, and treatment. RESULTS: Five patients were identified (3 men and 2 women) with ages ranging from 17 to 44 years. All patients had sustained high-energy closed spinal injuries: 3 motor vehicle accidents, 1 injured in a building collapse, and 1 hurt by a fallen steel beam. Four patients, all with sagittal-plane spondyloptosis, had a complete neurological deficit (American Spinal Injury Association [ASIA] Grade A), and 1, with coronal-plane spondyloptosis, presented with an incomplete neurological deficit (ASIA Grade C). Four patients had sustained concurrent multisystem trauma. All patients underwent surgery: an isolated posterior fusion in 2 and combined posterior-anterior fusion in 3. Only the patient with an incomplete neurological deficit (coronal-plane spondyloptosis) recovered neurological function postoperatively. CONCLUSIONS: Traumatic thoracolumbar junction spondyloptosis is rare. Surgical reconstruction and stabilization allow for early mobilization and rehabilitation. In the present series, a patient with coronal-plane spondyloptosis presented with preserved neurological function. This may be due to the result of differences in resultant neurological compression due to displacement mechanics compared with sagittally displaced injuries. SN - 1547-5654 UR - https://www.unboundmedicine.com/medline/citation/18764746/Traumatic_spondyloptosis_of_the_thoracolumbar_spine_ L2 - https://thejns.org/doi/10.3171/SPI/2008/9/8/145 DB - PRIME DP - Unbound Medicine ER -