Traumatic spondyloptosis of L4

Spine
Tian-Hua ZhouYue-Liang Zhu

Abstract

Case report of 2 patients with traumatic L4-L5 spondyloptosis. To report the diagnosis and treatment of the traumatic L4-L5 spondyloptosis. Traumatic L4-L5 spondylolisthesis is even rarer than traumatic L5-S1 spondylolisthesis. No case of traumatic L4-L5 spondyloptosis (anterolisthesis of Grade V) has been reported. The injury mechanism and surgery management merit more studies. Through the posterior approach, both of the 2 patients underwent the decompression and reduction with pedicle screws. One had the posterolateral fusion and the interbody fusion from L4-L5 whereas the other had the posterolateral fusion from L4-S1. Complete reduction and fusion were achieved. The neurologic symptoms improved after the surgery. At follow-ups of 1 year and 6.5 years, there was no further slippage of the vertebrae. They were satisfied with the treatment outcomes. Posterior decompression, reduction, internal fixation, and fusion is effective and dependable for traumatic L4-L5 spondyloptosis.

References

Feb 12, 2005·The Journal of Trauma·Abrar AhmedArvind Jayaswal
Dec 8, 2005·Archives of Orthopaedic and Trauma Surgery·M ReinholdM Blauth
Mar 17, 2006·Spine·Rudy ReindlVincent Arlet
Aug 29, 2006·The Spine Journal : Official Journal of the North American Spine Society·Samuel K ChoDarrell Hanson
Nov 18, 2006·The Journal of Trauma·Wala I El AssuityDaniel Chan
Sep 25, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Fatih Ersay DenizHasan Kanyilmaz
Dec 18, 2007·The Spine Journal : Official Journal of the North American Spine Society·Alan H DanielsRobert A Hart
Nov 29, 2008·La Chirurgia degli organi di movimento·Federico De IureStefano Boriani
Apr 9, 2009·Journal of Korean Neurosurgical Society·Sang Woo HaChang Su Um

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Citations

Aug 22, 2015·Journal of Neurosurgery. Spine·Abolfazl Rahimizadeh, Ava Rahimizadeh
May 6, 2015·The Spine Journal : Official Journal of the North American Spine Society·Xi YangYueming Song
Dec 22, 2014·Journal of Medical Case Reports·Robert AmesiyaErisa Sabakaki Mwaka
Dec 20, 2013·Global Spine Journal·Baron Zarate-KalfopulosAlejandro Reyes-Sánchez

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