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Unusual traumatic spondyloptosis causing complete transection of spinal cord.
Int Orthop 2011; 35(11):1671-5IO

Abstract

BACKGROUND

Traumatic spondyloptosis is defined as greater than 100% of traumatic subluxation of one vertebral body in the coronal or sagittal plane which usually causes the complete transaction of spinal cord. It is a rare but severe injury of the vertebral column. We present four unusual cases of traumatic spondyloptosis causing complete spinal cord transaction, which were operated upon successfully.

METHODS

We reviewed the imaging findings of four patients with traumatic thoraco-lumbar spondyloptosis from our radiology database, who presented to our trauma centre from August 2008 to September 2008. Four patients were identified with ages ranging from ten to 27 years. All patients had sustained high-energy closed spinal injuries. All patients underwent plain radiography, CT and MR imaging.

RESULTS

Three patients had sagittal plane spondyloptosis and one patient had coronal plane spondyloptosis. Complete cord/cauda eqina transection was present in all patients. One patient had low lying cord with complete cord transection. All patients underwent surgery. Reduction of displacement with pedicle screw and rod fixation was carried out to realign the vertebral column. None of the patients recovered neurological function postoperatively.

CONCLUSIONS

To conclude, traumatic thoraco-lumbar spondyloptosis is very rare and radiology plays an important role in the diagnosis and management of traumatic spondyloptosis. Surgical reconstruction and stabilisation allows for rehabilitation.

Authors+Show Affiliations

Department of Radio-diagnosis, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India. drchandruaiims@yahoo.comNo 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

21221578

Citation

Chandrashekhara, S H., et al. "Unusual Traumatic Spondyloptosis Causing Complete Transection of Spinal Cord." International Orthopaedics, vol. 35, no. 11, 2011, pp. 1671-5.
Chandrashekhara SH, Kumar A, Gamanagatti S, et al. Unusual traumatic spondyloptosis causing complete transection of spinal cord. Int Orthop. 2011;35(11):1671-5.
Chandrashekhara, S. H., Kumar, A., Gamanagatti, S., Kapoor, K., Mukund, A., Aggarwal, D., & Sinha, S. (2011). Unusual traumatic spondyloptosis causing complete transection of spinal cord. International Orthopaedics, 35(11), pp. 1671-5. doi:10.1007/s00264-010-1190-6.
Chandrashekhara SH, et al. Unusual Traumatic Spondyloptosis Causing Complete Transection of Spinal Cord. Int Orthop. 2011;35(11):1671-5. PubMed PMID: 21221578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unusual traumatic spondyloptosis causing complete transection of spinal cord. AU - Chandrashekhara,S H, AU - Kumar,A, AU - Gamanagatti,S, AU - Kapoor,K, AU - Mukund,A, AU - Aggarwal,D, AU - Sinha,S, Y1 - 2011/01/11/ PY - 2010/10/31/received PY - 2010/12/09/accepted PY - 2011/1/12/entrez PY - 2011/1/12/pubmed PY - 2012/2/9/medline SP - 1671 EP - 5 JF - International orthopaedics JO - Int Orthop VL - 35 IS - 11 N2 - BACKGROUND: Traumatic spondyloptosis is defined as greater than 100% of traumatic subluxation of one vertebral body in the coronal or sagittal plane which usually causes the complete transaction of spinal cord. It is a rare but severe injury of the vertebral column. We present four unusual cases of traumatic spondyloptosis causing complete spinal cord transaction, which were operated upon successfully. METHODS: We reviewed the imaging findings of four patients with traumatic thoraco-lumbar spondyloptosis from our radiology database, who presented to our trauma centre from August 2008 to September 2008. Four patients were identified with ages ranging from ten to 27 years. All patients had sustained high-energy closed spinal injuries. All patients underwent plain radiography, CT and MR imaging. RESULTS: Three patients had sagittal plane spondyloptosis and one patient had coronal plane spondyloptosis. Complete cord/cauda eqina transection was present in all patients. One patient had low lying cord with complete cord transection. All patients underwent surgery. Reduction of displacement with pedicle screw and rod fixation was carried out to realign the vertebral column. None of the patients recovered neurological function postoperatively. CONCLUSIONS: To conclude, traumatic thoraco-lumbar spondyloptosis is very rare and radiology plays an important role in the diagnosis and management of traumatic spondyloptosis. Surgical reconstruction and stabilisation allows for rehabilitation. SN - 1432-5195 UR - https://www.unboundmedicine.com/medline/citation/21221578/Unusual_traumatic_spondyloptosis_causing_complete_transection_of_spinal_cord_ L2 - https://dx.doi.org/10.1007/s00264-010-1190-6 DB - PRIME DP - Unbound Medicine ER -