Recovery of Neurologic Deficit due to Adequate Initial Treatment of Traumatic Lumbar Spondyloptosis
Journal of the Korean Society of Emergency Medicine
;
: 215-218, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-223733
ABSTRACT
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Espondilolistese
/
Serviço Hospitalar de Emergência
/
Anestesia Geral
/
Perna (Membro)
/
Vértebras Lombares
/
Manifestações Neurológicas
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2014
Tipo de documento:
Artigo
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