Traumatic dorsal spondyloptosis of upper thoracic spine: case report and novel open reduction technique

Li, Yingda; Huang, Meng; Manzano, Glen

doi:10.1080/02688697.2020.1828277

Cited by 5 publications

(20 citation statements)

References 14 publications

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“…A recent study by Li et al reported a case of a 37-year old male with a posterior T3-T4 dislocation resulting in complete paraplegia. The patient was treated with open reduction with the use of horizontally oriented temporary rods facilitating controlled, sequential sagittal distraction and unlocking, reversal of anteroposterior shear, and restoration of alignment [17].…”

Section: Discussionmentioning

confidence: 99%

Traumatic Fracture of the Thoracic Spine With Severe Posterolateral Dislocation: A Case Report

Zygogiannis¹,

Manolakos²,

Kalampokis³

et al. 2022

Cureus

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Thoracic spine fracture-dislocation injuries are always associated with high-energy trauma and result in severe neurological symptoms. Surgical reconstruction and stabilization are essential for the early mobilization and rehabilitation of patients with this type of injury. Here, we present a unique case of a 57year-old Greek male who sustained a posterolateral T3-T4 fracture-dislocation, with a complete spinal cord injury (SCI), after falling from a height. The patient was treated with surgical reduction and internal fixation with screws and rods, with satisfactory subsequent realignment.

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Section: Discussionmentioning

confidence: 99%

Traumatic Fracture of the Thoracic Spine With Severe Posterolateral Dislocation: A Case Report

Zygogiannis¹,

Manolakos²,

Kalampokis³

et al. 2022

Cureus

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“…1,2 It is a rare but devastating spinal injury secondary to highenergy trauma. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Patients with TTS are at increased risk for significant vascular injury, hemodynamic instability, and spinal cord injury. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Adequate reduction and stabilization allow for early mobilization and rehabilitation.…”

mentioning

confidence: 99%

Systematic Review of Traumatic Thoracic Spondyloptosis and Presentation of a Novel Approach for Management With Quad Rod Construct

Anokwute

House

Huh

et al. 2022

Operative Neurosurgery

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BACKGROUND:Traumatic thoracic spondyloptosis (TTS) is a rare but devastating spinal injury often secondary to high-impact trauma. TTS is typically managed with surgical fusion and stabilization.OBJECTIVE:To evaluate current surgical management of TTS while presenting a novel surgical technique for reduction and fusion.METHODS:We performed a systematic review of surgical management of TTS using Preferred Reporting Items for Systematic Reviews and Meta-Analyses of Individual Participant Data guidelines with 2 independent reviewers. We identified patient demographics, level of spondyloptosis, American Spinal Injury Association grade, level of spinal fusion, surgical approach, type of construct used, and reduction of fracture.RESULTS:Seventeen articles with 37 patients with TTS managed surgically were identified. The male:female ratio was 31:6. The average age was 33 years (±15). Motorized injury including motor vehicle accident, road traffic accident, and motor vehicle collision (16 patients, 43%) and fall including fall from height, stairs, train, or standing (16 patients, 43%) were equivalent. The middle (15 patients 40%) and lower (18 patients, 49%) thoracic regions were similar for the level of spondyloptosis. Thirty-four patients (92%) were American Spinal Injury Association A. Thirty-six patients (97.3%) underwent posterior only surgery and 1 (2.7%) underwent a combined posterior–anterior approach. There were 29 (78%) dual rod constructs and 8 (22%) dual rod with connectors or crosslinks. Complete reduction was obtained in 24 (65%) patients, incomplete in 11 (30%), and 2 (5%) patients were not reported. Two of our patients underwent novel quad rod reconstruction with complete reduction.CONCLUSION:Surgical management of TTS is typically posterior only with complete fracture reduction. We have presented a novel quad rod approach for reduction of TTS.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Patients with TTS are at a greater risk for vascular injury, hemodynamic instability, and spinal cord injury. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] However, sufficient reduction and stabilization can facilitate early mobilization and rehabilitation. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]…”

mentioning

confidence: 99%

“…1,7,13,15,17 Several case studies have supported and encouraged a posterior-only treatment for traumatic thoracic, thoracolumbar, and even thoracic lateral spondyloptosis. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Although an anterior approach can be advantageous in the situation of a severely comminuted vertebral body fracture, its requirement of thoracotomy significantly increases morbidity and the likelihood of approach-related complications. 7,17 The posterior-only approach, on the other hand, is a familiar and safe approach that allows for correction of deformity and spinal stabilization, resulting in early mobilization and rehabilitation, hence enhancing the patient's quality of life and reducing morbidity and mortality.…”

mentioning

confidence: 99%

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Commentary: Systematic Review of Traumatic Thoracic Spondyloptosis and Presentation ofNovel Approach for Management WithQuad Rod Construct

Kim

Jamieson

Tan

2022

Operative Neurosurgery

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Traumatic dorsal spondyloptosis of upper thoracic spine: case report and novel open reduction technique

Cited by 5 publications

References 14 publications

Traumatic Fracture of the Thoracic Spine With Severe Posterolateral Dislocation: A Case Report

Traumatic Fracture of the Thoracic Spine With Severe Posterolateral Dislocation: A Case Report

Systematic Review of Traumatic Thoracic Spondyloptosis and Presentation of a Novel Approach for Management With Quad Rod Construct

Commentary: Systematic Review of Traumatic Thoracic Spondyloptosis and Presentation ofNovel Approach for Management WithQuad Rod Construct

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