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Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process – Lumbar Spinal Stenosis

This article discusses a rare case of traumatic lumbosacral spondyloptosis with a locked L5 inferior articular process. The patient, a 33-year-old man, experienced severe waist trauma after driving an out of control forklift truck. Preoperative imaging revealed the diagnosis and the surgical procedure involved posterior instrumentation, decompression of the cauda equina, and interbody fusion. The patient received hyperbaric oxygen and rehabilitation treatment post-surgery. At the 6-month follow-up, the patient showed improved muscle strength, no numbness in the lower limbs, and improved urinary retention. The article highlights the potential causes of the injury and emphasizes the importance of careful evaluation of preoperative imaging. The authors also suggest a specific approach for reducing the locked inferior articular process

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: We believe that the hyperflexion and shear forces were the potential causes of this injury. In addition, the preoperative imaging examinations should be evaluated carefully. If the inferior articular process of L5 were locked, we suggest removing the bilateral inferior articular processes first and then perform reduction.

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Front Surg. 2023 Jun 26;10:1174169. doi: 10.3389/fsurg.2023.1174169. eCollection 2023.ABSTRACTBACKGROUND: Traumatic lumbosacral spondyloptosis is a very rare spinal disease caused by high-energy trauma. We report a case of traumatic lumbosacral spondyloptosis with locked L5 inferior articular process.CASE PRESENTATION: A 33-year-old man presented with multisite pain for 6 h following waist trauma and was admitted to the,

Front Surg. 2023 Jun 26;10:1174169. doi: 10.3389/fsurg.2023.1174169. eCollection 2023.

ABSTRACT

BACKGROUND: Traumatic lumbosacral spondyloptosis is a very rare spinal disease caused by high-energy trauma. We report a case of traumatic lumbosacral spondyloptosis with locked L5 inferior articular process.

CASE PRESENTATION: A 33-year-old man presented with multisite pain for 6 h following waist trauma and was admitted to the hospital. He suffered multiple injuries from severe impact on the waist after driving an out of control forklift truck. Preoperative imaging examinations revealed that the patient was diagnosed with traumatic lumbosacral spondyloptosis and the L5 inferior articular process was locked into the anterior margin of the S1 vertebra. A posterior instrumentation, decompression of the cauda equina, and interbody fusion procedure was performed. The patient received hyperbaric oxygen and rehabilitation treatment 10 days after the surgery. At the 6-month postoperative follow-up, the muscle strength of the lower limbs was improved, the patient had no numbness of both lower limbs, and the urinary retention symptom was significantly improved. The American Spinal Injury Association grade improved from grade C preoperatively to grade D postoperatively. As far as we know, there have been no relevant reports on traumatic lumbosacral spondyloptosis with locked L5 inferior articular process yet.

CONCLUSION: We believe that the hyperflexion and shear forces were the potential causes of this injury. In addition, the preoperative imaging examinations should be evaluated carefully. If the inferior articular process of L5 were locked, we suggest removing the bilateral inferior articular processes first and then perform reduction.

PMID:37435471 | PMC:PMC10331613 | DOI:10.3389/fsurg.2023.1174169

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Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process

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Front Surg. 2023 Jun 26;10:1174169. doi: 10.3389/fsurg.2023.1174169. eCollection 2023.ABSTRACTBACKGROUND: Traumatic lumbosacral spondyloptosis is a very rare spinal disease caused by high-energy trauma. We report a case of traumatic lumbosacral spondyloptosis with locked L5 inferior articular process.CASE PRESENTATION: A 33-year-old man presented with multisite pain for 6 h following waist trauma and was admitted to the

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