Treatment strategy on traumatic mid-lumbar spondyloptosis with concomitant multiple injuries: A case report and literature review.
10.1016/j.cjtee.2022.06.006
- Author:
Lin CHENG
1
,
2
;
Cheng QIU
3
,
4
;
Xin-Yu LIU
5
;
Xi-Guang SANG
6
Author Information
1. Department of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, 250012, China
2. Department of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, 250012, China.
3. Department of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, 250012, China
4. Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
5. Department of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, 250012, China.
6. Department of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, 250012, China. Electronic address: samsang07@126.com.
- Publication Type:Case Reports
- Keywords:
American Spinal Injury Association;
Fracture dislocation;
Lumbar spine;
Multiple trauma;
Spondyloptosis
- MeSH:
Female;
Humans;
Middle Aged;
Lumbar Vertebrae/injuries*;
Spondylolisthesis/surgery*;
Spinal Injuries;
Multiple Trauma/complications*
- From:
Chinese Journal of Traumatology
2023;26(1):33-40
- CountryChina
- Language:English
-
Abstract:
Spondyloptosis in the clinic is rarely reported. We herein present a 47-year-old female, who suffered from a crush injury directly by a heavy cylindrical object from the lateral side. She was diagnosed to have traumatic L3 spondyloptosis with multiple traumas. Staged surgical procedures were conducted and a three-year follow-up was obtained. Eventually, normal spinal alignment was restored, and neurological deficits were gradually improved. At three years follow-up, the motor strength scores and function of the sphincters were incompletely improved. Previously published reports on traumatic lumbar spondyloptosis were reviewed and several critical points for management of this severe type of spinal injury were proposed. First, thoracolumbar and lumbosacral junction were mostly predilection sites. Second, numerous patients involving traumatic lumbar spondyloptosis were achieved to American Spinal Injury Association grade A. Third, lumbar spondyloptosis was commonly coupling with cauda equina injury. Finally, the outcomes were still with poorly prognosis and recovery of patients was correlation to spondyloptosis severity. Based on this case report and literatures review, we highlighted that the spinal alignment restoration relying on staged operations and following rehabilitation hereof are both important once facing with multiple traumas. Furthermore, we suggested to perform routine CT angiography during lumbar spondyloptosis to justify whether there are large vessel compression or injury.
