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KMID : 0385920140250020215
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 2 p.215 ~ p.218
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Recovery of Neurologic Deficit due to Adequate Initial Treatment of Traumatic Lumbar Spondyloptosis
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Yoon Kyeong-Wook
Kim Young-Jin
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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 theoperating 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.
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KEYWORD
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Spondylolisthesis, Lumbar vertebrae, Vertebral fusion
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