Traumatic lumbar spondylolisthesis

Tang, Shujie

doi:10.12669/pjms.291.2593

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…[3][4][5][6][7]17,18 A posterior approach is beneficial for retrieving fracture fragments, increased safety and ease, and reduced complications. 19 Other surgical procedures include the anterior approach 20 or combined anterior and posterior approach 7,18,21 ; however, these approaches are typically used when there is a concurrent dislocation. Our patient had complete resolution of his symptoms after surgical fixation.…”

Section: Discussionmentioning

confidence: 99%

Progression of Diagnostic Imaging Findings of a Patient With Traumatic Spondylolisthesis Secondary to Unilateral Facet Fractures: A Case Report

Tollefson

Cho

2019

Journal of Chiropractic Medicine

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Objective: The purpose of this case study is to describe the diagnostic imaging studies of a patient who had a traumatic spondylolisthesis at L5-S1 secondary to unilateral facet fractures. Clinical Features: A 21-year-old man experienced a rollover motor vehicle crash that led to low back pain and progressive left-sided radiculopathy. Later, he sought treatment from a doctor of chiropractic because he continued to have low back pain with progressive pain down his left leg. A magnetic resonance imaging study demonstrated a left paracentral disc protrusion at L5-S1. Follow-up computed tomography demonstrated multiple transverse process fractures and left-sided L5-S1 facet fractures with spondylolisthesis that progressed over time. Intervention and Outcome: The patient was referred for a neurosurgical consultation 10 months after the injury. At 12 months after the injury, he underwent transforaminal lumbar interbody fusion with a posterior approach. The patient's pain and radicular symptoms resolved after the surgery. Conclusion: This patient exhibited posterior element fractures, had continued symptom progression, and was monitored for the development of a spondylolisthesis. Because of progression and exacerbation of symptoms, neurosurgical consultation for surgical stabilization was mandated.

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Section: Discussionmentioning

confidence: 99%

Progression of Diagnostic Imaging Findings of a Patient With Traumatic Spondylolisthesis Secondary to Unilateral Facet Fractures: A Case Report

Tollefson

Cho

2019

Journal of Chiropractic Medicine

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“…The shift from a sagittal-oriented thoracolumbar facet joint to a coronal-oriented L5-S1 facet joint explains the predisposition to dislocation and listhesis. 5,25 -28 Despite robust lower lumbar facets and stronger ligamentous attachments of the lower lumbar spine, disruption of these structures and the presence of sacral sloping leads to a higher prevalence of traumatic spondylolisthesis at L5-S1. 28 -30 The direction of listhesis can also be explained by the facet orientation: disruption of the coronal facets allows for an anteroposterior listhesis, whereas disruption of sagittal-oriented facets allows for lateral listhesis.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Lumbar Spondylolisthesis: A Systematic Review and Case Series

Ver

Dimar

Carreon

2018

Global Spine Journal

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Study Design: Systematic review and case series. Objectives: Any acute injury to the posterior elements of the lumbar spine resulting in listhesis is considered a traumatic spondylolisthesis. This rare injury caused by high-energy trauma is variably described in the literature as fracture-dislocation, where only case reports and series have been published. Our objectives were to propose evidence-based treatment recommendations and a new classification system for this injury. Methods: A systematic review of literature from PubMed, EMBASE, and Cochrane without time frame limitations was performed, which included 77 level IV and V articles and 9 patients as case series in the analysis. Results: A total of 125 cases were reviewed with mean age of 30.5 years. Half of the cases resulted from a vehicular accident. Back pain presented in 82%, while 50% had neurologic deficits. Operative treatment was performed in 93.6% (posterior decompression [PD] = 4%; posterior spinal fusion [PSF] = 43.2%; interbody fusion [IB] = 46.4%) with overall fusion rates of 74%. Binomial regression analysis for achieving solid fusion showed a 28.6× higher odds for IB compared to PSF ( P = .008, r2 = 0.633). Subanalysis of cases with disc injuries revealed higher fusion outcomes for IB (87%) compared to PSF (46%; P = .006), while there were no significant differences for patients without disc injury. Pain and neurological symptoms improved significantly on final follow-up ( P < .001). Overall complication rate was 22%. Conclusion: Operative management with reduction, decompression for neurologic deficits, instrumentation, and fusion is recommended for traumatic spondylolisthesis. Interbody fusion is recommended to achieve better fusion outcomes especially with preoperatively identified disc lesions.

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“…Traumatic lumbosacral spondylolisthesis is a rare injury ( 1 - 3 ); most of the cases were published as case reports in the literature. The injury results from a complex and high-energy mechanism ( 4 ) or forces, including hyperextension stress; hyperflexion and compression stress; or tangential force ( 5 ). In addition, the optimal treatment for this lesion is controversial ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Traumatic Lumbosacral Spondylolisthesis: A Case Report

Tang

2015

Iran Red Crescent Med J

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Introduction:Traumatic lumbar spondylolisthesis is rare disease and in the literature, different surgical approaches, including anterior, posterior, or combined approaches (posterior and anterior) are used to treat the lesion.Case Presentation:We treated a case of traumatic lumbosacral spondylolisthesis using posterior approach and the patient showed a satisfactory outcome. At the final follow-up, he was completely asymptomatic, and radiographic images revealed normal lumbar alignment and a solid interbody fusion.Conclusions:Traumatic lumbosacral spondylolisthesis can be treated using posterior approach alone to obtain reduction, decompression, and solid fusion.

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Traumatic lumbar spondylolisthesis

Cited by 3 publications

References 9 publications

Progression of Diagnostic Imaging Findings of a Patient With Traumatic Spondylolisthesis Secondary to Unilateral Facet Fractures: A Case Report

Progression of Diagnostic Imaging Findings of a Patient With Traumatic Spondylolisthesis Secondary to Unilateral Facet Fractures: A Case Report

Traumatic Lumbar Spondylolisthesis: A Systematic Review and Case Series

Traumatic Lumbosacral Spondylolisthesis: A Case Report

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