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Missed Traumatic Thoracic Spondyloptosis With no Neurological Deficit: A Case Report and Literature Review.
Trauma Mon 2016; 21(1):e19841TM

Abstract

INTRODUCTION

Traumatic thoracic spondyloptosis is caused by high energy trauma and is usually associated with severe neurological deficit. Cases presenting without any neurological deficit can be difficult to diagnose and manage.

CASE PRESENTATION

We reported a four-week spondyloptosis of the ninth thoracic vertebra over the tenth thoracic vertebra, in a 20-year-old male without any neurological deficit. The patient had associated chest injuries. The spine injury was managed surgically with in-situ posterior instrumentation and fusion. The patient tolerated the operation well and postoperatively there was no neurological deterioration or surgical complication.

CONCLUSIONS

Patients presenting with spondyloptosis with no neurological deficit can be managed with in-situ fusion via pedicle screws, especially when presenting late and with minimal kyphosis.

Authors+Show Affiliations

Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre All India Institute of Medical Sciences, Safdarjung Enclave New Delhi, Delhi, India.Department of Orthopaedics, GGS Medical College, Faridkot, India.Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre All India Institute of Medical Sciences, Safdarjung Enclave New Delhi, Delhi, India.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

27218044

Citation

Farooque, Kamran, et al. "Missed Traumatic Thoracic Spondyloptosis With No Neurological Deficit: a Case Report and Literature Review." Trauma Monthly, vol. 21, no. 1, 2016, pp. e19841.
Farooque K, Khatri K, Gupta A. Missed Traumatic Thoracic Spondyloptosis With no Neurological Deficit: A Case Report and Literature Review. Trauma Mon. 2016;21(1):e19841.
Farooque, K., Khatri, K., & Gupta, A. (2016). Missed Traumatic Thoracic Spondyloptosis With no Neurological Deficit: A Case Report and Literature Review. Trauma Monthly, 21(1), pp. e19841. doi:10.5812/traumamon.19841.
Farooque K, Khatri K, Gupta A. Missed Traumatic Thoracic Spondyloptosis With No Neurological Deficit: a Case Report and Literature Review. Trauma Mon. 2016;21(1):e19841. PubMed PMID: 27218044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Missed Traumatic Thoracic Spondyloptosis With no Neurological Deficit: A Case Report and Literature Review. AU - Farooque,Kamran, AU - Khatri,Kavin, AU - Gupta,Ankit, Y1 - 2016/02/06/ PY - 2014/04/30/received PY - 2014/10/07/revised PY - 2015/01/10/accepted PY - 2016/5/25/entrez PY - 2016/5/25/pubmed PY - 2016/5/25/medline KW - Spondyloptosis KW - Thoracic KW - Traumatic SP - e19841 EP - e19841 JF - Trauma monthly JO - Trauma Mon VL - 21 IS - 1 N2 - INTRODUCTION: Traumatic thoracic spondyloptosis is caused by high energy trauma and is usually associated with severe neurological deficit. Cases presenting without any neurological deficit can be difficult to diagnose and manage. CASE PRESENTATION: We reported a four-week spondyloptosis of the ninth thoracic vertebra over the tenth thoracic vertebra, in a 20-year-old male without any neurological deficit. The patient had associated chest injuries. The spine injury was managed surgically with in-situ posterior instrumentation and fusion. The patient tolerated the operation well and postoperatively there was no neurological deterioration or surgical complication. CONCLUSIONS: Patients presenting with spondyloptosis with no neurological deficit can be managed with in-situ fusion via pedicle screws, especially when presenting late and with minimal kyphosis. SN - 2251-7464 UR - https://www.unboundmedicine.com/medline/citation/27218044/Missed_Traumatic_Thoracic_Spondyloptosis_With_no_Neurological_Deficit:_A_Case_Report_and_Literature_Review_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/27218044/ DB - PRIME DP - Unbound Medicine ER -