2019
DOI: 10.1186/s12891-019-2939-8
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A distraction technique using reduction multi-axial screws for open reduction of high-grade lumbar posterior dislocation:a case report and literature review

Abstract: BackgroundL3 vertebral fractures with posterior dislocation are rare and usually secondary to high-energy trauma. To assess the outcome of a valuable distraction technique, using long-tail multiaxial pedicle screw which we have employed in reduction of L3 vertebral fracture with posterior dislocation, and emphasize the importance of preoperative blood vessel evaluation.Case presentationA 47-year-old patient fell from a height of 4 m and was paralyzed. Computed tomography scan revealed a three-column ligamentou… Show more

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Cited by 1 publication
(2 citation statements)
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“…While low-grade spondylolisthesis is common, often develops gradually and asymptomatically, and is usually secondary to degenerative changes, spondyloptosis is rare, occurs almost exclusively after trauma, and is nearly always associated with severe, permanent neurological deficits. [2][3][4][5][6][7] Complete lateral dislocation of adjacent vertebrae in the coronal plane, known as lateral spondyloptosis or "lateraloptosis," is even rarer and suggests extremely high-energy forces perpendicular to the sagittally oriented lumbar facets. 2,3 Treatment of lateraloptosis requires surgical stabilization; however, deformity correction in these cases often proves to be challenging or even infeasible.…”
mentioning
confidence: 99%
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“…While low-grade spondylolisthesis is common, often develops gradually and asymptomatically, and is usually secondary to degenerative changes, spondyloptosis is rare, occurs almost exclusively after trauma, and is nearly always associated with severe, permanent neurological deficits. [2][3][4][5][6][7] Complete lateral dislocation of adjacent vertebrae in the coronal plane, known as lateral spondyloptosis or "lateraloptosis," is even rarer and suggests extremely high-energy forces perpendicular to the sagittally oriented lumbar facets. 2,3 Treatment of lateraloptosis requires surgical stabilization; however, deformity correction in these cases often proves to be challenging or even infeasible.…”
mentioning
confidence: 99%
“…While low-grade spondylolisthesis is common, often develops gradually and asymptomatically, and is usually secondary to degenerative changes, spondyloptosis is rare, occurs almost exclusively after trauma, and is nearly always associated with severe, permanent neurological deficits. 2-7…”
mentioning
confidence: 99%