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Traumatic lumbar spondylolisthesis resulting in complete thoracic spinal cord avulsion: an unusual presentation.
J Neurosurg Spine 2018; 29(6):635-638JN

Abstract

Traumatic spondylolisthesis is a known occurrence in trauma, but complete cord transection is relatively rare. Moreover, complete cord transection at a site distant from the traumatic spondylolisthesis without spondyloptosis is exceedingly rare. In this report, authors describe the first case of thoracic cord avulsion following a traumatic grade II lumbar spondylolisthesis. The unusual presentation of this case highlights the importance of further evaluating patients with neurological symptoms out of proportion with the injuries seen on initial imaging. Magnetic resonance imaging performed after initial imaging studies demonstrated T11 cord transection with the distal cord herniating into the lumbar paraspinal soft tissues, thus allowing for preoperative planning to prepare for a more significant intervention including complex dural repair and lumbar drain placement, in addition to instrumented fusion to stabilize the traumatic spondylolisthesis.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30192218

Citation

Toms, Jamie, et al. "Traumatic Lumbar Spondylolisthesis Resulting in Complete Thoracic Spinal Cord Avulsion: an Unusual Presentation." Journal of Neurosurgery. Spine, vol. 29, no. 6, 2018, pp. 635-638.
Toms J, Boyer DL, Kelman CR, et al. Traumatic lumbar spondylolisthesis resulting in complete thoracic spinal cord avulsion: an unusual presentation. J Neurosurg Spine. 2018;29(6):635-638.
Toms, J., Boyer, D. L., Kelman, C. R., & Vega, R. A. (2018). Traumatic lumbar spondylolisthesis resulting in complete thoracic spinal cord avulsion: an unusual presentation. Journal of Neurosurgery. Spine, 29(6), pp. 635-638. doi:10.3171/2018.5.SPINE17919.
Toms J, et al. Traumatic Lumbar Spondylolisthesis Resulting in Complete Thoracic Spinal Cord Avulsion: an Unusual Presentation. J Neurosurg Spine. 2018 Dec 1;29(6):635-638. PubMed PMID: 30192218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic lumbar spondylolisthesis resulting in complete thoracic spinal cord avulsion: an unusual presentation. AU - Toms,Jamie, AU - Boyer,David L, AU - Kelman,Craig R, AU - Vega,Rafael A, PY - 2018/02/21/received PY - 2018/05/11/accepted PY - 2018/9/8/pubmed PY - 2019/7/10/medline PY - 2018/9/8/entrez KW - MRC = Medical Research Council KW - cord transection KW - lumbar KW - motor vehicle collision KW - spinal cord injury KW - spondylolisthesis KW - thoracic KW - trauma SP - 635 EP - 638 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 29 IS - 6 N2 - Traumatic spondylolisthesis is a known occurrence in trauma, but complete cord transection is relatively rare. Moreover, complete cord transection at a site distant from the traumatic spondylolisthesis without spondyloptosis is exceedingly rare. In this report, authors describe the first case of thoracic cord avulsion following a traumatic grade II lumbar spondylolisthesis. The unusual presentation of this case highlights the importance of further evaluating patients with neurological symptoms out of proportion with the injuries seen on initial imaging. Magnetic resonance imaging performed after initial imaging studies demonstrated T11 cord transection with the distal cord herniating into the lumbar paraspinal soft tissues, thus allowing for preoperative planning to prepare for a more significant intervention including complex dural repair and lumbar drain placement, in addition to instrumented fusion to stabilize the traumatic spondylolisthesis. SN - 1547-5646 UR - https://www.unboundmedicine.com/medline/citation/30192218/Traumatic_lumbar_spondylolisthesis_resulting_in_complete_thoracic_spinal_cord_avulsion:_an_unusual_presentation L2 - https://thejns.org/doi/10.3171/2018.5.SPINE17919 DB - PRIME DP - Unbound Medicine ER -