Tags

Type your tag names separated by a space and hit enter

Novel method for stepwise reduction of traumatic thoracic spondyloptosis.
Surg Neurol Int 2019; 10:23SN

Abstract

Background

Spondyloptosis involving complete subluxation of spinal vertebrae resulting in permanent spinal cord damage is rarely caused by high-force trauma. Rapid re-stabilization of the spine is crucial for maximizing chances of neural recovery and can significantly improve the patient's quality of life. In this case study, we describe the challenges associated with the surgical management of traumatic thoracic spondyloptosis, and propose a novel, safe, step-wise, spinal reduction method employing an inflatable beanbag.

Case Description

A 17-year-old male fell 25 feet from a tree, resulting in anterior spondyloptosis at the T11/12 level. He presented with para plegia and a T11 sensory level to pin below the umbilicus. Surgical management involved a posterior-anterior-posterior approach with initial posterior decompression, then T12 corpectomy and reconstruction and finally pedicle screw fixation. We utilized an inflatable beanbag to realign the spinal column in a stepwise fashion, thereby minimizing the risk of damage to the surrounding structures, including the thecal sac and great vessels. Postoperatively, the patient regained some sensory function below his injury level of T11 but remained plegic. X-ray imaging confirmed successful spinal fusion.

Conclusion

Early spinal realignment and stabilization following spondyloptosis at the T11/T12 level resulted in some improvement in sensory function without resolution of motor plegia. Here, we described how to utilize a novel beanbag reduction method to safely achieve stepwise spinal realignment.

Authors+Show Affiliations

Department of Neurosurgery, Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Pl, New Brunswick, New Jersey, USA.Department of Neurosurgery, Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Pl, New Brunswick, New Jersey, USA.Department of Neurosurgery, Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Pl, New Brunswick, New Jersey, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31123630

Citation

Paulo, Danika, et al. "Novel Method for Stepwise Reduction of Traumatic Thoracic Spondyloptosis." Surgical Neurology International, vol. 10, 2019, p. 23.
Paulo D, Semonche A, Tyagi R. Novel method for stepwise reduction of traumatic thoracic spondyloptosis. Surg Neurol Int. 2019;10:23.
Paulo, D., Semonche, A., & Tyagi, R. (2019). Novel method for stepwise reduction of traumatic thoracic spondyloptosis. Surgical Neurology International, 10, p. 23. doi:10.4103/sni.sni_353_17.
Paulo D, Semonche A, Tyagi R. Novel Method for Stepwise Reduction of Traumatic Thoracic Spondyloptosis. Surg Neurol Int. 2019;10:23. PubMed PMID: 31123630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Novel method for stepwise reduction of traumatic thoracic spondyloptosis. AU - Paulo,Danika, AU - Semonche,Alexa, AU - Tyagi,Rachana, Y1 - 2019/02/27/ PY - 2017/09/19/received PY - 2017/10/27/accepted PY - 2019/5/25/entrez PY - 2019/5/28/pubmed PY - 2019/5/28/medline KW - Fracture dislocation KW - pediatric KW - spine KW - spondyloptosis KW - subluxation KW - trauma SP - 23 EP - 23 JF - Surgical neurology international JO - Surg Neurol Int VL - 10 N2 - Background: Spondyloptosis involving complete subluxation of spinal vertebrae resulting in permanent spinal cord damage is rarely caused by high-force trauma. Rapid re-stabilization of the spine is crucial for maximizing chances of neural recovery and can significantly improve the patient's quality of life. In this case study, we describe the challenges associated with the surgical management of traumatic thoracic spondyloptosis, and propose a novel, safe, step-wise, spinal reduction method employing an inflatable beanbag. Case Description: A 17-year-old male fell 25 feet from a tree, resulting in anterior spondyloptosis at the T11/12 level. He presented with para plegia and a T11 sensory level to pin below the umbilicus. Surgical management involved a posterior-anterior-posterior approach with initial posterior decompression, then T12 corpectomy and reconstruction and finally pedicle screw fixation. We utilized an inflatable beanbag to realign the spinal column in a stepwise fashion, thereby minimizing the risk of damage to the surrounding structures, including the thecal sac and great vessels. Postoperatively, the patient regained some sensory function below his injury level of T11 but remained plegic. X-ray imaging confirmed successful spinal fusion. Conclusion: Early spinal realignment and stabilization following spondyloptosis at the T11/T12 level resulted in some improvement in sensory function without resolution of motor plegia. Here, we described how to utilize a novel beanbag reduction method to safely achieve stepwise spinal realignment. SN - 2229-5097 UR - https://www.unboundmedicine.com/medline/citation/31123630/Novel_method_for_stepwise_reduction_of_traumatic_thoracic_spondyloptosis L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31123630/ DB - PRIME DP - Unbound Medicine ER -