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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.

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
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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SW
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2022-06-10
Fabulous service Fabulous service. Mr Akmal truly cares about his patients and how he can improve their quality of life. I would recommend him to anyone with any kind of spinal issue.
Honeywell Paul
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2022-06-08
Truly excellent results! I was diagnosed with lumbar stenosis after experiencing increasing pain in both legs. An MRI and consultation carried out at short notice confirmed this. Mr Akmal recommended that a spacer should be inserted in my lower back to correct the problem and release the nerves from the narrowing caused by stenosis. The operation was conducted very professionally and without pain. After the first two weeks the pain started to subside as expected. After 4 weeks I was completely back to normal. The result is exceptionally good and I feel renewed, with no pain whatsoever and a regained posture, ready to resume a normal life. I cannot recommend The London Spine Unit highly enough. They are medical magicians!
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2022-06-06
Sciatica My mother was in absolute agony for more than 3 months due to sciatica. It just came out of nowhere and took her out of action. From working full time she went straight to being bed bound and unable to carry out simplest of actions.The pain was 9/10 and she was bed bound for those three months. Multiple trips to A&E and GP and they wouldn't class it as an emergency therefore they wouldn't do anything about it other than upgrading the painkillers which did next to nothing for my mother. I couldn't bear to watch my mother sleeping on A&E bench in pain for 7 hours, just to be told by doctors that she wouldn't be kept in. I remember her joining her hands and begging the doctors to stop the pain which broke my heart. I then started doing research on google and London spine unit came up with Dr Mo AKMAL's profile and review. First meeting with Dr AKMAL was via ZOOM as my mother was bed bound. Dr AKMAL spoke to me and my mom and told us that this is nothing to worry about and that the pain would be 100% gone.Dr AKMAL assured us to visit the hospital so he could physically inspect my mother and give us the best solution. One trip to the london spine unit and Dr AKMAL advised us that the best solution would be to carry out Minimally invasive disectomy. Dr AKMAL advised that due to my mother being bed bound for a while, steroid injection might not give the result that my mother wishes. Dr AKMAL was very confident and showed us some videos from other patients who had gone through the same ordeal. The biggest thing i noticed between before and after was the smile on the patients face. Dr AKMAL was constantly assuring my mother throughout the meeting that he would take care of her pain and gave her 100% confidence that the result would be delivered.He promised her that she would be walking pain free the same day after the operation. Before the operation Dr GURUNG was consulted multiple times and he also was very helpful. Right after the surgery, as Dr AKMAL promised, my mother was walking and the biggest thing was that the pain was gone. My mother had forgotten to smile for three months and there i saw her smiling again. Dr AKMAL and Dr GURUNG gave us brilliant aftercare and informed us that just give them a ring if there was any issue. Its been several weeks now and my mother is heading towards complete recovery without any issues. The pain is completely gone and anyone who is reading this going through the same horrible sciatica pain you must come and see Dr AKMAL. Thank you Dr AKMAL and your whole team for helping my mom achieve this pain free life.
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2022-05-18
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2022-05-18
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2022-05-09
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2022-04-22
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2022-04-02
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Ken Carswell
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2022-03-22
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customer
customer
2022-03-17
Great service and painless procedure Great service and painless procedure. Definitely alleviated the pain
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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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