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Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report.
Spine (Phila Pa 1976) 2012; 37(22):E1410-4S

Abstract

STUDY DESIGN

A case report.

OBJECTIVE

To describe a case of traumatic lumbosacral spondyloptosis and present a literature review.

SUMMARY OF BACKGROUND DATA

Traumatic spondyloptosis is a very rare injury caused by high-energy trauma. Eight cases of traumatic spondyloptosis of L5-S1 have been reported, including only 1 case treated 8.5 months after injury occurrence.

METHODS

A 45-year-old Myanmar male experienced severe lower back pain and paresis of the lower extremities after a landslide disaster. Plain radiographs showed spondyloptosis, with the 5th lumbar vertebra located anterior to the 1st sacral vertebra. Computed tomography myelography demonstrated complete bilateral pars interarticularis fracture dislocation at L5-S1 and a complete block between L5 and S1 with apparent spondyloptosis. Neurological function of this patient improved after conservative treatment for 5 months; however, his severe lower back pain persisted. Thus, surgery for in situ posterior decompression and fusion of L3-S1 was performed.

RESULTS

Lower back pain of the patient had nearly disappeared 2 weeks after surgery, and he was able to walk for more than 1 hour without assistance 2 years after surgery.

CONCLUSION

We performed posterior decompression and in situ fusion of L3-S1 for the patients with traumatic lumbosacral spondyloptosis treated 5 months after injury, and the surgery produced a favorable clinical outcome.

Authors+Show Affiliations

Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

22805340

Citation

Wangtaphan, Wongtong, et al. "Traumatic Lumbosacral Spondyloptosis Treated Five Months After Injury Occurrence: a Case Report." Spine, vol. 37, no. 22, 2012, pp. E1410-4.
Wangtaphan W, Oo M, Paholpak P, et al. Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report. Spine. 2012;37(22):E1410-4.
Wangtaphan, W., Oo, M., Paholpak, P., Wang, Z., Sakakibara, T., & Kasai, Y. (2012). Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report. Spine, 37(22), pp. E1410-4. doi:10.1097/BRS.0b013e318268c08a.
Wangtaphan W, et al. Traumatic Lumbosacral Spondyloptosis Treated Five Months After Injury Occurrence: a Case Report. Spine. 2012 Oct 15;37(22):E1410-4. PubMed PMID: 22805340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report. AU - Wangtaphan,Wongtong, AU - Oo,Myint, AU - Paholpak,Permsak, AU - Wang,Zhuo, AU - Sakakibara,Toshihiko, AU - Kasai,Yuichi, PY - 2012/7/19/entrez PY - 2012/7/19/pubmed PY - 2013/3/26/medline SP - E1410 EP - 4 JF - Spine JO - Spine VL - 37 IS - 22 N2 - STUDY DESIGN: A case report. OBJECTIVE: To describe a case of traumatic lumbosacral spondyloptosis and present a literature review. SUMMARY OF BACKGROUND DATA: Traumatic spondyloptosis is a very rare injury caused by high-energy trauma. Eight cases of traumatic spondyloptosis of L5-S1 have been reported, including only 1 case treated 8.5 months after injury occurrence. METHODS: A 45-year-old Myanmar male experienced severe lower back pain and paresis of the lower extremities after a landslide disaster. Plain radiographs showed spondyloptosis, with the 5th lumbar vertebra located anterior to the 1st sacral vertebra. Computed tomography myelography demonstrated complete bilateral pars interarticularis fracture dislocation at L5-S1 and a complete block between L5 and S1 with apparent spondyloptosis. Neurological function of this patient improved after conservative treatment for 5 months; however, his severe lower back pain persisted. Thus, surgery for in situ posterior decompression and fusion of L3-S1 was performed. RESULTS: Lower back pain of the patient had nearly disappeared 2 weeks after surgery, and he was able to walk for more than 1 hour without assistance 2 years after surgery. CONCLUSION: We performed posterior decompression and in situ fusion of L3-S1 for the patients with traumatic lumbosacral spondyloptosis treated 5 months after injury, and the surgery produced a favorable clinical outcome. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/22805340/Traumatic_lumbosacral_spondyloptosis_treated_five_months_after_injury_occurrence:_a_case_report_ L2 - http://Insights.ovid.com/pubmed?pmid=22805340 DB - PRIME DP - Unbound Medicine ER -