Post-traumatic L4-L5 spondyloptosis with cauda equina syndrome: A case report

Barwar, Nilesh

doi:10.1016/j.tcr.2021.100475

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…When the patient was seen in the follow-up, he was recovered from the deficit. [ 8 ] Signs vary from asymptomatic patients with lower back pain to patients with neurological deficits up to cauda equina syndrome.…”

Section: Discussionmentioning

confidence: 99%

Traumatic lumbar spondylolisthesis: A case report and review of literature

Adjiou,

Hakkou,

Abbas

et al. 2024

JNRP

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Traumatic spondylolisthesis of the lumbosacral junction (SPL) is a spinal injury rarely seen in current practice. Few cases are reported in the literature. It arises from complex trauma of high-energy mechanisms. We discussed the case of a young patient. He is 24 years old without notable pathological history victim of a traffic road accident. Clinically, he has no sensory or motor deficit, it is a spinal trauma classified American spinal injury association E (ASIA E) with severe back pain. A whole-body CT scan performed on admission showed a grade 2 L5–S1 SPL. A lumbar MRI revealed a tear of the disc at L5–S1. We performed a laminectomy to decompress the dural sheath and cauda equina roots with transforaminal lumbar interbody fusion. A postoperative CT scan showed the reduction of the spondylolisthesis. Two months later, the patient resumed walking. Surgery is the gold standard for the management of traumatic SPL. The aim of surgery is to achieve neural structure decompression and obtain stability with fusion.

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Section: Discussionmentioning

confidence: 99%

Traumatic lumbar spondylolisthesis: A case report and review of literature

Adjiou,

Hakkou,

Abbas

et al. 2024

JNRP

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“…Previous reports have shown that neurological improvement requires surgical intervention to decompress and stabilize the spine. 4,8,11,13,14 There have been reports of successful closed reduction in spondyloptosis 12,15 and in partial lateral dislocation 16 ; however, reduction in lateraloptosis requires greater distraction forces because of the proximity of the involved vertebral bodies. 2,9 This case features several unique elements, including what the authors believe to be the first report of closed reduction for a case of lateraloptosis.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Closed Reduction of Traumatic Lateraloptosis: Operative Nuances

Powers,

Garcia,

Nwajei

et al. 2023

Operative Neurosurgery

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BACKGROUND AND IMPORTANCE: Traumatic lateral spondyloptosis, or lateraloptosis, is the complete lateral dislocation of the spine. Reduction in these dislocations presents unique challenges, especially in cases of preserved neurological function. Open techniques carry significant risks of cerebrospinal fluid leak and neurological injury. For traditional spondyloptosis, off-table closed techniques have been described but may result in loss of the reduction when the patient is transferred to the operative table. An on-table closed reduction technique has potential advantages over previously described open reduction or off-table techniques for the treatment of lateraloptosis. CLINICAL PRESENTATION: The authors describe an on-table closed reduction technique for lateraloptosis, presenting an illustrative case in which the technique was applied. This technique is compared with alternative open and off-table reduction techniques described in the literature. The patient had good mechanical and neurological outcomes. At 14 months postoperatively, she is neurologically intact, back to work involving heavy lifting, and has only moderate back pain. CONCLUSION: On-table closed reduction before open fixation should be considered in cases of lateraloptosis, particularly when there is preserved neurological function.

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Traumatic Lateral Spondyloptosis of the Lumbar Spine: A Case Series and Comprehensive Literature Review

Miller MD,

Lesha MD,

Roach MS

et al. 2024

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Introduction: Lateral spondyloptosis of the lumbar spine is a rare and devastating form of traumatic spinal injury. Given the paucity of lumbar lateral spondyloptosis case reports in the literature, the authors seek to inform readers of the clinical, radiological, and operative considerations for three patients with this uncommon clinical presentation, as well as provide a comprehensive review of the literature on this topic. Methods: A retrospective chart review of three patients admitted to Regional One Health Elvis Presley Memorial Trauma Center in Memphis, TN, with traumatic lateral spondyloptosis of the lumbar spine over a three-year period was performed. We also conducted a comprehensive review of the literature on traumatic lateral lumbar spondyloptosis. Results: Three cases of traumatic lateral lumbar spondyloptosis were identified. Clinical presentation, radiographic findings, and operative considerations are presented. Conclusions: Traumatic lateral lumbar spondyloptosis is a rare form of translation injury associated with severe neurological deficits. Our experience and thorough literature review broadly advocate for early surgical intervention in these patients. Regardless of whether a neurologic exam is presented, this management strategy may improve neurologic motor outcomes.

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Post-traumatic L4-L5 spondyloptosis with cauda equina syndrome: A case report

Cited by 3 publications

References 9 publications

Traumatic lumbar spondylolisthesis: A case report and review of literature

Traumatic lumbar spondylolisthesis: A case report and review of literature

Intraoperative Closed Reduction of Traumatic Lateraloptosis: Operative Nuances

Traumatic Lateral Spondyloptosis of the Lumbar Spine: A Case Series and Comprehensive Literature Review

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