Traumatic Spondylolisthesis of the Lumbosacral Spine With Multiple Fractures of the Posterior Elements

Miyata, Hiroshi; Sumi, Masatoshi; Kataoka, Osamu; Doita, Minoru; Kurosaka, Masahiro; Yoshiya, Shinichi

doi:10.1302/0301-620x.86b1.14122

Cited by 23 publications

(14 citation statements)

References 6 publications

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“…10,13 However, most authors consider the mechanism of anterior spondylopelvic dissociation to be a combination of hyperflexion with compression, although the exact pathophysiology is still controversial. 8,9,[14][15][16] Some authors argue that anterior dislocation results from lateral hyperflexion and rotation, and others report that this type of dissociation is purely a result of the direct trauma vectors. [17][18][19] Posterior dislocations are thought to result from posterior translation of the vertebrae on a fixed pelvis.…”

Section: Discussionmentioning

confidence: 99%

“…9 Open reduction and internal fixation using pedicle screws is considered the standard of treatment for this injury. 9,16 It is safest to perform the reduction intraoperatively where the canal can be explored to ensure there are no bone or disk fragments. 13 Because this is a three-column injury, anterior support may be necessary to ensure stability.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Spondylopelvic Dissociation: A Report of Two Cases of Spondylolisthesis at L5–S1 and Review of Literature

Robbins

Mallon

Roberto

et al. 2015

Global Spine Journal

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Study Design Retrospective chart review and review of literature. Objective Few case reports of traumatic L5–S1 displacement have been presented in the literature. Here we present two cases of traumatic spondylolisthesis showing both anterior and posterior displacement, the treatment algorithm, and a review of the literature. Methods The authors conducted a retrospective review of representative patients and a literature review of traumatic spondylolisthesis at the L5–S1 junction. Two representative patients were identified with traumatic spondylolisthesis: one with an anterior dissociation, and the other with a posterior dissociation. Results Radiographic, computed tomography, and magnetic resonance imaging illustrated the bony and soft tissue injury found in each patient, as well as the final stabilization and outcomes. Operative stabilization was necessary, and both patients were treated with open reduction internal fixation. The patient with posterior dissociation had complete recovery without neurologic sequelae. The patient with anterior dissociation had persistent bilateral L5–S1 radiculopathy with intact rectal tone, due to neurologic compression. Conclusions Few cases of traumatic spondylopelvic dissociation that are isolated to the L5–S1 disk space are described in the literature. We examined both an anterior and a posterior dissociation and treated both with L5–S1 posterior spinal fusion. The patient with anterior dissociation had persistent L5–S1 root injury; however, the patient with posterior dissociation had no neurologic deficits. This is the opposite of what is expected based on anatomy. These cases offer insight into the management of anterior and posterior L5–S1 spondylopelvic dissociation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Traumatic Spondylopelvic Dissociation: A Report of Two Cases of Spondylolisthesis at L5–S1 and Review of Literature

Robbins

Mallon

Roberto

et al. 2015

Global Spine Journal

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“…In the English literature, some cases of traumatic spondylolisthesis were reported, which were treated successfully using conservative methods ( 7 , 8 ), but the non-surgical treatment may result in posttraumatic translational instability or chronic low back pain ( 1 , 3 ). Moreover, the rare lesion belonged to a 3-column injury ( 9 ) and need a solid internal fixation.…”

Section: Discussionmentioning

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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“…However, isolated hyperflexion is unlikely to produce this type of injury in the lumbar spine [ 33 ]. Other contributing forces may include compression [ 6 , 7 , 34 , 35 ], rotation [ 36 – 42 ], distraction [ 43 , 44 ], translation [ 45 – 47 ], lateral translation [ 48 – 50 ], lateral bending [ 25 , 36 , 51 ], and direct traumatic vectors [ 44 , 52 ].…”

Section: Anatomy and Biomechanics Of Injurymentioning

confidence: 99%

Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

Moon¹,

Ateşok²,

Niemeier³

et al. 2018

Advances in Orthopedics

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Traumatic lumbosacral dislocation is a rare, high-energy mechanism injury characterized by displacement of the fifth lumbar vertebra in relation to the sacrum. Due to the violent trauma typically associated with this lesion, there are often severe, coexisting injuries. High-quality radiographic studies, in addition to appropriate utilization of CT scan and MRI, are essential for proper evaluation and diagnosis. Although reports in the literature include nonoperative and operative management, most authors advocate for surgical treatment with open reduction and decompression with instrumentation and fusion. Despite advances in early diagnosis and management, this injury type is associated with significant morbidity and mortality, and long-term patient outcomes remain unclear.

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Traumatic Spondylolisthesis of the Lumbosacral Spine With Multiple Fractures of the Posterior Elements

Abstract: We describe a patient with a traumatic spondylolisthesis of L5 and multiple, bilateral pedicle fractures from L2 to L5. Conservative treatment was chosen, with eventual neurological recovery and bony union. We are not aware of previous reports of this pattern of injury.

Cited by 23 publications

References 6 publications

Traumatic Spondylopelvic Dissociation: A Report of Two Cases of Spondylolisthesis at L5–S1 and Review of Literature

Traumatic Spondylopelvic Dissociation: A Report of Two Cases of Spondylolisthesis at L5–S1 and Review of Literature

Traumatic Lumbosacral Spondylolisthesis: A Case Report

Traumatic Lumbosacral Dislocation: Current Concepts in Diagnosis and Management

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