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Traumatic spondyloptosis of the lumbar spine: a case report
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 spon...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307633/ https://www.ncbi.nlm.nih.gov/pubmed/25528055 http://dx.doi.org/10.1186/1752-1947-8-453 |
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author | Amesiya, Robert Orwotho, Norbert Nyati, Mallon Mugarura, Rodney Mwaka, Erisa Sabakaki |
author_facet | Amesiya, Robert Orwotho, Norbert Nyati, Mallon Mugarura, Rodney Mwaka, Erisa Sabakaki |
author_sort | Amesiya, Robert |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4307633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43076332015-01-28 Traumatic spondyloptosis of the lumbar spine: a case report Amesiya, Robert Orwotho, Norbert Nyati, Mallon Mugarura, Rodney Mwaka, Erisa Sabakaki J Med Case Rep Case Report 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. BioMed Central 2014-12-21 /pmc/articles/PMC4307633/ /pubmed/25528055 http://dx.doi.org/10.1186/1752-1947-8-453 Text en © Amesiya et al.; licensee BioMed Central. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Amesiya, Robert Orwotho, Norbert Nyati, Mallon Mugarura, Rodney Mwaka, Erisa Sabakaki Traumatic spondyloptosis of the lumbar spine: a case report |
title | Traumatic spondyloptosis of the lumbar spine: a case report |
title_full | Traumatic spondyloptosis of the lumbar spine: a case report |
title_fullStr | Traumatic spondyloptosis of the lumbar spine: a case report |
title_full_unstemmed | Traumatic spondyloptosis of the lumbar spine: a case report |
title_short | Traumatic spondyloptosis of the lumbar spine: a case report |
title_sort | traumatic spondyloptosis of the lumbar spine: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307633/ https://www.ncbi.nlm.nih.gov/pubmed/25528055 http://dx.doi.org/10.1186/1752-1947-8-453 |
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