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  4. Unusual traumatic spondyloptosis causing complete transaction of spinal cord

Unusual traumatic spondyloptosis causing complete transaction of spinal cord

International Orthopaedics (SICOT), 2011 · DOI: 10.1007/s00264-010-1190-6 · Published: January 11, 2011

TraumaMedical ImagingOrthopedics

Simple Explanation

Traumatic spondyloptosis involves severe displacement of vertebrae, often leading to complete spinal cord injury. This condition is rare but serious, requiring surgical intervention. The study reviews imaging findings and surgical outcomes of four patients with thoraco-lumbar spondyloptosis, focusing on diagnosis and management strategies. Surgical reconstruction with pedicle screw and rod fixation is used to realign the vertebral column, although neurological recovery may not always be achieved.

Study Duration
August 2008 to September 2008
Participants
Four patients with ages ranging from ten to 27 years
Evidence Level
Not specified

Key Findings

  • 1
    All four patients with traumatic spondyloptosis had complete spinal cord or cauda equina transection.
  • 2
    Surgical intervention, involving reduction of displacement and stabilization, was performed on all patients.
  • 3
    None of the patients fully recovered neurological function postoperatively, indicating the severity of the initial injury.

Research Summary

The study presents four cases of traumatic thoraco-lumbar spondyloptosis causing complete spinal cord transaction. These patients sustained high-energy closed spinal injuries and underwent surgical intervention. Radiological imaging (plain radiography, CT, and MRI) played a crucial role in diagnosing the condition and planning surgical management. Surgical reconstruction and stabilization allowed for rehabilitation, although neurological recovery was limited. The authors conclude that traumatic spondyloptosis is rare and requires a multi-disciplinary approach involving radiology, surgery, and rehabilitation.

Practical Implications

Diagnostic Importance of Radiology

Radiology is critical in diagnosing and managing traumatic spondyloptosis, guiding surgical planning.

Surgical Stabilization

Surgical reconstruction and stabilization are essential for vertebral realignment and rehabilitation.

Limited Neurological Recovery

Complete spinal cord transaction often results in limited neurological recovery despite surgical intervention.

Study Limitations

  • 1
    Small sample size (four patients)
  • 2
    Retrospective case series design
  • 3
    Lack of long-term follow-up data

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