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Traumatic spondyloptosis of L4.
Spine (Phila Pa 1976) 2010; 35(17):E855-9S

Abstract

STUDY DESIGN

Case report of 2 patients with traumatic L4-L5 spondyloptosis.

OBJECTIVE

To report the diagnosis and treatment of the traumatic L4-L5 spondyloptosis.

SUMMARY OF BACKGROUND DATA

Traumatic L4-L5 spondylolisthesis is even rarer than traumatic L5-S1 spondylolisthesis. No case of traumatic L4-L5 spondyloptosis (anterolisthesis of Grade V) has been reported. The injury mechanism and surgery management merit more studies.

METHODS

Through the posterior approach, both of the 2 patients underwent the decompression and reduction with pedicle screws. One had the posterolateral fusion and the interbody fusion from L4-L5 whereas the other had the posterolateral fusion from L4-S1.

RESULTS

Complete reduction and fusion were achieved. The neurologic symptoms improved after the surgery. At follow-ups of 1 year and 6.5 years, there was no further slippage of the vertebrae. They were satisfied with the treatment outcomes.

CONCLUSION

Posterior decompression, reduction, internal fixation, and fusion is effective and dependable for traumatic L4-L5 spondyloptosis.

Authors+Show Affiliations

Department of Orthopedics, Kunming General Hospital, Third Military Medical University, Kunming, Yunnan, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20628328

Citation

Zhou, Tian-Hua, et al. "Traumatic Spondyloptosis of L4." Spine, vol. 35, no. 17, 2010, pp. E855-9.
Zhou TH, Tang X, Xu YQ, et al. Traumatic spondyloptosis of L4. Spine. 2010;35(17):E855-9.
Zhou, T. H., Tang, X., Xu, Y. Q., & Zhu, Y. L. (2010). Traumatic spondyloptosis of L4. Spine, 35(17), pp. E855-9. doi:10.1097/BRS.0b013e3181d798f2.
Zhou TH, et al. Traumatic Spondyloptosis of L4. Spine. 2010 Aug 1;35(17):E855-9. PubMed PMID: 20628328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic spondyloptosis of L4. AU - Zhou,Tian-Hua, AU - Tang,Xun, AU - Xu,Yong-Qing, AU - Zhu,Yue-Liang, PY - 2010/7/15/entrez PY - 2010/7/16/pubmed PY - 2010/11/13/medline SP - E855 EP - 9 JF - Spine JO - Spine VL - 35 IS - 17 N2 - STUDY DESIGN: Case report of 2 patients with traumatic L4-L5 spondyloptosis. OBJECTIVE: To report the diagnosis and treatment of the traumatic L4-L5 spondyloptosis. SUMMARY OF BACKGROUND DATA: Traumatic L4-L5 spondylolisthesis is even rarer than traumatic L5-S1 spondylolisthesis. No case of traumatic L4-L5 spondyloptosis (anterolisthesis of Grade V) has been reported. The injury mechanism and surgery management merit more studies. METHODS: Through the posterior approach, both of the 2 patients underwent the decompression and reduction with pedicle screws. One had the posterolateral fusion and the interbody fusion from L4-L5 whereas the other had the posterolateral fusion from L4-S1. RESULTS: Complete reduction and fusion were achieved. The neurologic symptoms improved after the surgery. At follow-ups of 1 year and 6.5 years, there was no further slippage of the vertebrae. They were satisfied with the treatment outcomes. CONCLUSION: Posterior decompression, reduction, internal fixation, and fusion is effective and dependable for traumatic L4-L5 spondyloptosis. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/20628328/Traumatic_spondyloptosis_of_L4_ L2 - http://Insights.ovid.com/pubmed?pmid=20628328 DB - PRIME DP - Unbound Medicine ER -