Introduction: Traumatic SPONDYLOPTOSIS is a rare condition. It is a neurogenic complication due to high energy trauma and unstable spine which almost always needs surgical treatment. A 30 years old man with L4 SPONDYLOPTOSIS and L5 fracture, neurologic deficit in both lower limbs, urinary incontinence and visceral perforation referred to Shafa Yahyaeian Hospital He underwent nonsurgical treatment because he was a poor surgical candidate (Poor medical condition, visceral perforation and buttock bed sore) Results: At the last follow up three years after trauma, he was in good general condition with full recovery of his neurologic problem and ambulated without assistance.Conclusion: Although traumatic SPONDYLOPTOSIS needs surgical treatment, in special situations for very high risk patients, nonsurgical treatment can be a good alternative.

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.

Background and Importance: Traumatic cervical SPONDYLOPTOSIS is a rare and severe situation, i. e., associated with disabling neurological deficits. Case Presentation: We described an unusual clinical presentation of cervical SPONDYLOPTOSIS in a 49-year-old man without neurological impairment and severe neck pain. Moreover, C6C7 SPONDYLOPTOSIS was assessed two days after the trauma. X-rays, Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) demonstrated a C6 bi-pedicular fracture, C6-C7 facet dislocation with complete ptosis of C6 vertebral body over C7 and without spinal cord injury. The patient was managed with an intra-operative 4 Kg traction and underwent a posterior decompression, with reduced fracture/dislocation by bilateral completed facetectomies at C6, and fusion from C4 to T3. Conclusion: This case report emphasized that sometimes cervical SPONDYLOPTOSIS may occur without neurological deficit symptoms. Prompt clinical recognition and surgical removal are essential to prevent serious complications in this respect.

A 30-year-old man presented to our clinic with progressive neck pain and dysphagia. He had been operated on for an atlantoaxial instability (os odontoideum) 7 years ago. Imaging studies revealed cervical SPONDYLOPTOSIS of C5-C6 and C7-T1,the neurologic examination was intact. It was decided to correct the deformity through a circumferential approach. Thus C5, C6, and C7 corpectomy, alongside anterior column reconstruction using titanium expandable cage, reinforced by posterior spinal instrumentation from occipital bone to T3 vertebra were performed,his symptoms resolved completely following an uneventful surgery.

Introduction: Traumatic thoracic SPONDYLOPTOSIS is caused by high energy trauma and is usually associated with severe neurological deficit. Cases presenting without any neurological deficit can be difficult to diagnose and manage.Case Presentation: We reported a four-week SPONDYLOPTOSIS of the ninth thoracic vertebra over the tenth thoracic vertebra, in a 20-year-old male without any neurological deficit. The patient had associated chest injuries. The spine injury was managed surgically with in-situ posterior instrumentation and fusion. The patient tolerated the operation well and postoperatively there was no neurological deterioration or surgical complication.Conclusions: Patients presenting with SPONDYLOPTOSIS with no neurological deficit can be managed with in-situ fusion via pedicle screws, especially when presenting late and with minimal kyphosis.

Background and Importance: Fracture-dislocation of the thoracic or lumbar spine (traumatic SPONDYLOPTOSIS) occurs in less than 5% of all spinal injuries mainly affecting the ventral direction. Case Presentation: A paraplegic young man was admitted to Shahid Kamyab Hospital in Mashhad City, Iran due to a motor vehicle accident. Computerized tomography (CT) showed a complete posterior dislocation of the T10 vertebral body on T9, with the superior articular processes of T9 bilaterally locked in the inferior endplate of T10 and complete fractures of the posterior elements. Conclusion: The spinal dislocation was re-aligned by a combination of Harrington fixation and pedicular screws leading to spinal fusion. Six months after surgery, the patient was still paraplegic but the sensory symptoms in the lower extremities and clean intermittent catheterization improved.