Traumatic Sacral Spondyloptosis,Report of an Extremely Rare Case

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FATTAHI ARASH; Daneshi Abdoulhadi; TAHERI MORTEZA; AZIMI ARMIN

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Journal Paper

Paper Information

Journal: TRAUMA MONTHLY Year:2022 | Volume:27 | Issue:5 Page(s): 606-610

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Information Journal Paper

Title

Traumatic Sacral Spondyloptosis,Report of an Extremely Rare Case

Author(s)

FATTAHI ARASH | Daneshi Abdoulhadi | TAHERI MORTEZA | AZIMI ARMIN | Issue Writer Certificate

Keywords

Spondyloptosis

S1-S2

Sacral

Instrumentation

Neurological deficit

Abstract

Background: Traumatic Sacral spondylosis is a sporadic injury. It is accompanied by damage to the cauda equina with perineal numbness, paralysis of sphincters, and Sacral root weakness. Case presentation: A 35-year-old male complained of low back pain, left-sided foot drop, and sphincter dysfunction after a 9-meter fall. On imaging, he had S1-S2 spondylosis. We operated on the patient with a single posterior approach. The L3-S3 instrumented fusion after stepwise distraction to reduce deformity concomitant with L5-S2 laminectomy and foraminotomy was done. After two years of follow-up, the sphincter disturbance was relieved, but the limb deficit had no change. On follow-up images, the fusion between S1 and S2 was confirmed. Conclusion: We recommend surgical treatment of this injury to allow some neurological improvement and stabilization of the spine of the pelvis. Also, the operation must be delayed for days to rule out any intra-pelvic life-threatening, primarily vascular injury. A stepwise intraoperative distraction could be helpful in the reduction of this deformity.

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APA: Copy

FATTAHI, ARASH, Daneshi, Abdoulhadi, TAHERI, MORTEZA, & AZIMI, ARMIN. (2022). Traumatic Sacral Spondyloptosis,Report of an Extremely Rare Case. TRAUMA MONTHLY, 27(5), 606-610. SID. https://sid.ir/paper/1130968/en

Vancouver: Copy

FATTAHI ARASH, Daneshi Abdoulhadi, TAHERI MORTEZA, AZIMI ARMIN. Traumatic Sacral Spondyloptosis,Report of an Extremely Rare Case. TRAUMA MONTHLY[Internet]. 2022;27(5):606-610. Available from: https://sid.ir/paper/1130968/en

IEEE: Copy

ARASH FATTAHI, Abdoulhadi Daneshi, MORTEZA TAHERI, and ARMIN AZIMI, “Traumatic Sacral Spondyloptosis,Report of an Extremely Rare Case,” TRAUMA MONTHLY, vol. 27, no. 5, pp. 606–610, 2022, [Online]. Available: https://sid.ir/paper/1130968/en

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