Acta Ortopédica Mexicana

Cordero-Abadía JH, Murillo-Villarino A, Núñez-Fernández AI, Posadas-Hernández FA, Rubio-González AA, Sesma-Villalpando RA
Traumatic spondyloptosis of L4-L5. A case report and literature review
Acta Ortop Mex 2012; 26 (1)

Language: Español
References: 15
Page: 49-52
PDF: 117.02 Kb.

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ABSTRACT

The term Spondyloptosis is used to describe a grade V spondylolisthesis, being a subluxation bigger than l00%. The trauma spondyloptosis binding L5-S1 is reported the most prevalent. It is rare in the cephalad lumbar segment to the lumbosacral junction. Two cases of spondyloptosis of L4-L5 have been reported until August 2010, caused by high energy trauma, both with the L4 vertebral body presented an anterior displacement of the vertebral body of L5. We report a patient with traumatic spondyloptosis of L4-L5 caused by a high-energy mechanism. The mechanism of injury and surgical management are described and the clinical evaluation is performed with a minimum follow-up of 8 months.


Key words: spine, trauma, vertebra, cervical, dislocation, surgery, evaluation.


REFERENCES

  1. Smith JA, Deviren V: Clinical outcome of trans-sacral interbody fusion after partial reduction for high-grade L5–S1 spondylolisthesis. Spine 2001; 26(20): 2227-34.

  2. Wright IP: Who is Meyerdign? Spine 2003; 28(7): 733-5.

  3. Cruz-Conde D, Berjano-Coquillat P: Resultado a largo plazo del tratamiento quirúrgico de las espondilolistesis de alto grado. Rev Ortop Traumatol 2004; 48: 363-9.

  4. Verhelst L: Traumatic posterior lumbosacral spondyloptosis in a six-year-old. Spine 2009; 34(17): E629-E34.

  5. Herzikoff SS: Fracture dislocation of the fourth lumbar vertebra with paralysis: Reduction of a case with recovery. J Bone Joint Surg Am 1930; 12: 403-13.

  6. Samberg LC: Fracture-dislocation of the lumbosacral spine. A case report. J Bone Joint Surg Am 1975; 57: 1007-8.

  7. Klöckner C: Surgery for severe spondylolis thesis and spondyloptosis. Orthop Traumatol 2002; 10(1): 47-59.

  8. Wai-Mun Y, Brodner W, Gaines RW: Abnormal spinal anatomy in 27 cases of surgically corrected spondyloptosis. Lippincott Williams & Wilkins, Inc. Spine 2005; 30(6S): S22-S6.

  9. Hammerberg KW: New concepts on the pathogenesis and classification of spondilolisthesis. Spine 2005; 30(6S): S4-S11.

  10. Lu X, Hou C: Complete traumatic anterior dislocation of the lumbosacral joint, a case report. Spine 2009; 34(14): E488-E92.

  11. Tian-Hua Z, Tang X: Traumatic spondyloptosis of L4. Spine 2010; 35(17): E855-E9.

  12. Fatih E, Zileli AEM: Traumatic L4–L5 spondylolisthesis: case report. Eur Spine J 2008; 17 (Suppl 2): S232-S5.

  13. Gaines RW: L5 Vertebrectomy for the surgical treatment of spondyloptosis. Lippincott Williams & Wilkins, Inc. Spine 2005; 30(6S): S66-S70.

  14. DeWald CJ: Evaluation and management of high-grade spondylolisthesis in adults. Spine 2005; 30(6S): S49-S59.

  15. Requeijo HE et al. Espondilolistesis. Hospital Ameijeiras, República de Cuba, 2002.