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Traumatic L5 Posterolateral Spondyloptosis: A Case Report and Review of the Literature.

Gabel BC, Curtis E, Gonda D, Ciacci J - Cureus (2015)

Bottom Line: Only a few case reports have shown retrolisthesis of the fractured fragment over the inferior vertebral body.The patient presented with paraplegia and bowel and bladder incontinence.The patient did not regain function in his distal lower extremities postoperatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: Neurosurgery, University of California, San Diego.

ABSTRACT
Traumatic retrolisthesis of the lumbar spine is a rare clinical entity. Only a few case reports have shown retrolisthesis of the fractured fragment over the inferior vertebral body. Fracture dislocations of the spine are unstable injuries that require operative fixation to restore alignment and prevent progressive deformity. We present the case of a traumatic L5-S1 fracture dislocation with retrolisthesis of the L5 vertebral body over the superior aspect of S1 managed with anterior, middle, and posterior column reconstruction. The patient presented with paraplegia and bowel and bladder incontinence. Retrolisthesis fracture dislocations injuries are rare, and as such, there are no guidelines regarding their management. In our case, we performed an L5 vertebrectomy with anterior, middle, and posterior column reconstruction via a posterior approach using a lumbosacral-pelvic construct. The patient did not regain function in his distal lower extremities postoperatively.

No MeSH data available.


Related in: MedlinePlus

Preoperative anteroposterior x-rayThis is a preoperative anteroposterior x-ray demonstrating a fracture dislocation of the L5 vertebrae relative to S1. There is significant lateral listhesis apparent.  
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FIG2: Preoperative anteroposterior x-rayThis is a preoperative anteroposterior x-ray demonstrating a fracture dislocation of the L5 vertebrae relative to S1. There is significant lateral listhesis apparent.  


Traumatic L5 Posterolateral Spondyloptosis: A Case Report and Review of the Literature.

Gabel BC, Curtis E, Gonda D, Ciacci J - Cureus (2015)

Preoperative anteroposterior x-rayThis is a preoperative anteroposterior x-ray demonstrating a fracture dislocation of the L5 vertebrae relative to S1. There is significant lateral listhesis apparent.  
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4494538&req=5

FIG2: Preoperative anteroposterior x-rayThis is a preoperative anteroposterior x-ray demonstrating a fracture dislocation of the L5 vertebrae relative to S1. There is significant lateral listhesis apparent.  
Bottom Line: Only a few case reports have shown retrolisthesis of the fractured fragment over the inferior vertebral body.The patient presented with paraplegia and bowel and bladder incontinence.The patient did not regain function in his distal lower extremities postoperatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: Neurosurgery, University of California, San Diego.

ABSTRACT
Traumatic retrolisthesis of the lumbar spine is a rare clinical entity. Only a few case reports have shown retrolisthesis of the fractured fragment over the inferior vertebral body. Fracture dislocations of the spine are unstable injuries that require operative fixation to restore alignment and prevent progressive deformity. We present the case of a traumatic L5-S1 fracture dislocation with retrolisthesis of the L5 vertebral body over the superior aspect of S1 managed with anterior, middle, and posterior column reconstruction. The patient presented with paraplegia and bowel and bladder incontinence. Retrolisthesis fracture dislocations injuries are rare, and as such, there are no guidelines regarding their management. In our case, we performed an L5 vertebrectomy with anterior, middle, and posterior column reconstruction via a posterior approach using a lumbosacral-pelvic construct. The patient did not regain function in his distal lower extremities postoperatively.

No MeSH data available.


Related in: MedlinePlus