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Journal of The Korean Society of Emergency Medicine 2014;25(2): 215-218. |
| Recovery of Neurologic Deficit due to Adequate Initial Treatment of Traumatic Lumbar Spondyloptosis |
| Kyeong Wook Yoon, Young Jin Kim |
| Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Chungnam, Republic of Korea. spine1225@naver.com |
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| ABSTRACT |
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Traumatic spondyloptosis is a rare trauma entity and clinically challenging. Mostly, traumatic spondyloptosis combines severe neurologic deficit and is hard to expect good clinical outcome. It is also named grade 5 spondylolisthesis and reduction of dislocated vertebral bodies is not easy. Initial reduction at the emergency room can cause secondary neurologic injury, therefore, a careful and gentle approach is required. A 54-year-old male suffered an accident at a construction site. The heavily reinforced concrete structure hit him from the back side. Initially, motor grade of both legs decreased to grade 2 at the emergency room. Imaging studies showed lumbar spondyloptosis L4 on L5. Surgery was required and reduction was performed in the-operating room under general anesthesia. Complete reduction and posterior fixation was performed and neurologic deficit improved after surgery. The authors report on a rare case of spinal trauma and discuss initial management and surgical solutions. |
| Key words:
Spondylolisthesis, Lumbar vertebrae, Vertebral fusion |
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