Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report.

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.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Wangtaphan W,Oo M,Paholpak P,Wang Z,Sakakibara T,Kasai Y

doi

10.1097/BRS.0b013e318268c08a

subject

Has Abstract

pub_date

2012-10-15 00:00:00

pages

E1410-4

issue

22

eissn

0362-2436

issn

1528-1159

journal_volume

37

pub_type

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