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Case Reports
. 2014 Dec 21:8:453.
doi: 10.1186/1752-1947-8-453.

Traumatic spondyloptosis of the lumbar spine: a case report

Robert Amesiya, Norbert Orwotho, Mallon Nyati, Rodney Mugarura, Erisa Sabakaki Mwaka  1
Affiliations
Case Reports

Traumatic spondyloptosis of the lumbar spine: a case report

Robert Amesiya et al. J Med Case Rep. .

Abstract

Introduction: Spondyloptosis is the most severe of translation spine injuries. It results in complete disruption of the structural elements of the vertebral column and the adjacent paravertebral soft tissues, culminating in severe biomechanical instability. Although several cases of lumbosacral spondyloptosis have been documented, not many cases of traumatic lumbar spondyloptosis have been published in the literature.

Case presentation: We present a case of a 34-year-old man of Nilo-Hamitic ethnicity who presented to our unit with paraplegia following injury from the collapse of a concrete wall. Radiographic images showed spondyloptosis at the fourth lumbar vertebral level. He underwent surgery where decompression, reduction, posterior instrumentation and bone grafting through a posterior approach were done. He started regaining motor power 48 hours postoperatively. He is currently undergoing rehabilitation and is steadily improving, 2 months postoperatively.

Conclusions: In limited-resource settings there is a tendency of "skilful neglect" of complex injuries. Where resources allow, surgical reconstruction of spondyloptosis should be attempted irrespective of the severity of the initial neurological deficit because there are chances of neurological improvement.

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Figures

Figure 1
Figure 1
Preoperative radiographs. Plain anteroposterior (a) and lateral radiographs (b) of the lumbar spine showing spondyloptosis with L4 lying anterior to the L5 vertebral body in the sagittal plane.
Figure 2
Figure 2
Postoperative antero-posterior (a) and lateral (b) radiographs of the lumbar spine. Good reduction is shown with short segment posterolateral fixation.
See this image and copyright information in PMC

References

    1. Meyerding HW. Spondylolisthesis as an etiologic factor in backache. J Am Med Assoc. 1938;111(22):1971–1976. doi: 10.1001/jama.1938.02790480001001. - DOI
    1. El-Khoury G, Whitten C. Trauma to the upper thoracic spine: anatomy, biomechanics, and unique imaging features. AJR Am J Roentgenol. 1993;160(1):95–102. doi: 10.2214/ajr.160.1.8416656. - DOI - PubMed
    1. Gharib A, Postel G, Mirza S, Mann F. A thoracic spine translation injury with lateral facet dislocation. Am J Roentgenol. 2002;178(6):1450. doi: 10.2214/ajr.178.6.1781450. - DOI - PubMed
    1. Chatani K, Yoshioka M, Hase H, Hirasawa Y. Complete anterior fracture-dislocation of the fourth lumbar vertebra. Spine. 1994;19(6):726–729. doi: 10.1097/00007632-199403001-00015. - DOI - PubMed
    1. Ahmed A, Mahesh BH, Shamshery PK, Jayaswal A. Traumatic retrolisthesis of the L4 vertebra. J Trauma Acute Care Surg. 2005;58(2):393–394. doi: 10.1097/01.TA.0000073998.94089.D1. - DOI - PubMed

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