Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion

Fattahi, Arash; Daneshi, Abdolhadi

doi:10.4103/sni.sni_204_18

Cited by 11 publications

(38 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Seventeen articles with a total of 37 patients were included. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] We also present 2 additional cases from our series (Tables 1 and 2).…”

Section: Resultsmentioning

confidence: 99%

“…[2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Because of the rigidity of the thoracic spine from the sternum, ribs, and orientation of the facet joints, the amount of force needed to cause a fracture dislocation injury resulting in spondyloptosis has to be either quite significant as from a high-velocity trauma such as motorized accident or the bony structure is so poor that a lower-velocity trauma such as a fall could lead to a spondyloptosis. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] It is interesting to note that the incidence of TTS was quite increased in the middle and lower thoracic spine as compared with the upper thoracic spine in this systematic review. We postulate that upper thoracic spine injuries are decreased because of the force being transmitted to the more mobile cervical spine.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

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

View full text Add to dashboard Cite

show abstract

“…It can happen at any level, yet it has more tendency to happen at the junctional areas of the spine where mobile and rigid segments meet. At the thoracolumbar junction, the spondyloptosis is less forgiving as it damages the spinal cord [ 7 ]. However, if it happens in lumbar or lumbosacral junctional areas, chances of neurological recovery are great [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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

Barwar

2021

Trauma Case Reports

View full text Add to dashboard Cite

Spondyloptosis at a lumbar level is usually encountered in an isthmic or a dysplastic types of spondylolisthesis. Post-traumatic lumbar spondyloptosis is comparatively a rare entity. As the injury involves a complete failure of all the osteo-ligamentous structures, it is highly unstable and has a high probability of a complete neurological deficit. On the contrary, the injury also has a lot of chances of meaningful neurological recovery if realignment and stabilization are done on an urgent basis. Here we report a case of L4-L5 post-traumatic spondyloptosis with complete motor weakness below the injury level with sensory and bowel & bladder dysfunction. The neurological injury recovered significantly within four months of operative reduction, decompression, and stabilization.

show abstract

“…Most often, the posterior approach is preferred. Fattahi et al presented a case of spondyloptosis at T7–T8 that resulted in paraplegia and was treated with a single spondylectomy and posterior fusion of T5–T11 [9]. In other cases, the anterolateral approach is used for an oblique corridor anterior to the psoas muscle and lateral to the great vessels.…”

Section: Discussionmentioning

confidence: 99%

Traumatic spondyloptosis of L3 with incomplete neurological involvement: A case report

Cabrera

Yankovic

Luna

et al. 2019

Trauma Case Reports

View full text Add to dashboard Cite

High-energy traumas frequently result in lumbar spine fractures such as spondyloptosis is the maximum expression of instability and severity. The management of spondyloptosis is complex and, essentially, surgical. It usually presents with irreversible neurological compromise. This paper aimed to present a case of lumbar spondyloptosis and its early confrontation, partial neurological involvement, and progressive postoperative retrieval.Clinical caseA male patient aged 42 years had multiple injuries with asymmetric paraparesis and sphincter involvement. Computed tomography (CT) revealed L3 vertebral spondyloptosis detached from the rest of the spine, spinal canal stenosis, sagittal imbalance, and angular kyphosis. Surgical resolution was defined by performing an en bloc corpectomy through lumbotomy and the installation of an expandable cage with posterior transpedicular fixation of L2–L4, thereby recovering the spinal canal diameter, lumbar lordosis, sagittal balance, and improving motor function progressively.ConclusionComplex spinal injuries warrant an early resolution by a trained surgical team to ensure normal spinal parameters and to achieve a progressive neurological recovery.

show abstract

Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion

Cited by 11 publications

References 6 publications

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

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

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

Traumatic spondyloptosis of L3 with incomplete neurological involvement: A case report

Contact Info

Product

Resources

About