Limits...
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

Intraoperative photographThis image shows elevation of the dislocated vertebral body via a posterior incision. 
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4494538&req=5

FIG7: Intraoperative photographThis image shows elevation of the dislocated vertebral body via a posterior incision. 

Mentions: He was taken to the operating room non-emergently to address his lumbar spine injuries. The patient was placed on a spinal table without reduction of his fracture. He underwent an L2 to sacroiliac posterior instrumented fusion with L5 vertebrectomy and placement of an interbody cage (Figure 5). The entirety of the case was performed from a posterior approach. The retropulsed L5 vertebral body was readily apparent after opening the posterior lumbosacral fascia (Figures 6-7) and was removed in one piece (Figure 8). Intraoperatively, the dura of the thecal sac had been destroyed, and there was significant nerve root injury apparent.


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

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

Intraoperative photographThis image shows elevation of the dislocated vertebral body via a posterior incision. 
© Copyright Policy - open-access
Related In: Results  -  Collection

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

FIG7: Intraoperative photographThis image shows elevation of the dislocated vertebral body via a posterior incision. 
Mentions: He was taken to the operating room non-emergently to address his lumbar spine injuries. The patient was placed on a spinal table without reduction of his fracture. He underwent an L2 to sacroiliac posterior instrumented fusion with L5 vertebrectomy and placement of an interbody cage (Figure 5). The entirety of the case was performed from a posterior approach. The retropulsed L5 vertebral body was readily apparent after opening the posterior lumbosacral fascia (Figures 6-7) and was removed in one piece (Figure 8). Intraoperatively, the dura of the thecal sac had been destroyed, and there was significant nerve root injury 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