The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Robert A Hart - One of the best experts on this subject based on the ideXlab platform.
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traumatic Spondyloptosis resulting from high energy trauma concurrent with a tonic clonic seizure
The Spine Journal, 2009Co-Authors: Alan H Daniels, Atul Deodhar, Robert A HartAbstract:Abstract Background context Traumatic lumbosacral dislocation injuries are rare, high-energy injuries that are challenging to surgically manage. Purpose To report a patient with a traumatic Spondyloptosis of L5 on S1 as a result of bilateral pedicle fractures of L4 and L5 occurring during a motor vehicle accident, concurrent with a tonic-clonic seizure. The mechanism and treatment of the injury are discussed. Study design Clinical case report and literature review. Methods A staged circumferential fusion was performed with posterior reduction of L5 to the sacrum and instrumentation and fusion from L2 to the pelvis, followed 12 days later by anterior diskectomies and arthrodesis from L3 to S1. Results Near anatomic reduction and solid fusion were obtained and maintained at 3-year follow-up. The patient remained neurologically intact in all lumbosacral roots throughout the course of treatment. Conclusions The injury pattern described is quite rare. This case of multilevel, bilateral pedicle fracture with traumatic L5–S1 Spondyloptosis was successfully treated by circumferential reduction and arthrodesis without neurological injury.
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case reports traumatic Spondyloptosis resulting from high energy trauma concurrent with a tonic clonic seizure
2009Co-Authors: Alan H Daniels, Atul Deodhar, Robert A HartAbstract:BACKGROUND CONTEXT: Traumatic lumbosacral dislocation injuries are rare, high-energy injuries that are challenging to surgically manage. PURPOSE: To report a patient with a traumatic Spondyloptosis of L5 on S1 as a result of bilateral pedicle fractures of L4 and L5 occurring during a motor vehicle accident, concurrent with a tonicclonic seizure. The mechanism and treatment of the injury are discussed. STUDY DESIGN: Clinical case report and literature review. METHODS: A staged circumferential fusion was performed with posterior reduction of L5 to the sacrum and instrumentation and fusion from L2 to the pelvis, followed 12 days later by anterior diskectomies and arthrodesis from L3 to S1. RESULTS: Near anatomic reduction and solid fusion were obtained and maintained at 3-year follow-up. The patient remained neurologically intact in all lumbosacral roots throughout the course of treatment. CONCLUSIONS: The injury pattern described is quite rare. This case of multilevel, bilateral pedicle fracture with traumatic L5–S1 Spondyloptosis was successfully treated by circumferential reduction and arthrodesis without neurological injury. 2009 Elsevier Inc. All rights reserved.
Arash Fattahi - One of the best experts on this subject based on the ideXlab platform.
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posttraumatic c2 c3 Spondyloptosis without focal neurological deficit treated with anterior and posterior approaches a case report
Surgical Neurology International, 2021Co-Authors: Arash Fattahi, Abdoulhadi Daneshi, Seyed Mohammad Reza MohajeriAbstract:Background Cervical Spondyloptosis is usually caused by trauma, and correlated with significant neurological deficits that can include quadriplegia, respiratory disorders, vertebral artery injury, and death. Case Description A 34-year-old male presented with C2-C3 spondylolisthesis after a fall from a tree. Although he had no neurological deficits, CT and X-ray studies confirmed C2-C3 a Spondyloptosis. He was treated with emergent anterior and posterior cervical reduction, decompression, and fixation, remaining neurologically intact in the postoperative period. Conclusion Patients with C2-C3 Spondyloptosis documented on X-ray/CT studies should be considered for circumferential decompression/fusion to preserve neurological function.
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traumatic cervical posterior Spondyloptosis report of a rare case
British Journal of Neurosurgery, 2019Co-Authors: Arash Fattahi, Alireza TabibkhooeiAbstract:Traumatic spinal Spondyloptosis is the extreme degree of spondylolisthesis and is not common. Traumatic cervical anterior Spondyloptosis has been reported but we could not find reports of posterior traumatic cervical Spondyloptosis. We present an 18-year-old female with this type of injury and cervical complete cord syndrome below C5 and explain our treatment approach.
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traumatic thoracic spine Spondyloptosis treated with spondylectomy and fusion
Surgical Neurology International, 2018Co-Authors: Arash Fattahi, Abdoulhadi DaneshiAbstract:Background There are multiple surgical treatment options for traumatic thoracic spine Spondyloptosis, a three-column spinal injury typically attributed to high-energy trauma. Case description A 20-year-old male presented with back deformity attributed to a fall. On neurological examination, he had complete spinal cord injury below the T6 level. Magnetic resonance and computed tomography imaging documented a T8 vertebral fracture and complete T7/T8 Spondyloptosis. Six days following admission, he underwent a single posterior procedure consisting of a T8 spondylectomy and instrumented fusion from T5 to T11. The patient was mobilized in a wheelchair on the 3rd postoperative day and was discharged on the 11th day following admission. Three months later, the surgical construct was fused and the patient's neurological status remained unchanged. Conclusion Here we present a patient who following a fall sustained a T7/T8 Spondyloptosis resulting in paraplegia treated with a single posterior T8 spondylectomy with T5-T11 instrumented fusion.
Abdoulhadi Daneshi - One of the best experts on this subject based on the ideXlab platform.
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posttraumatic c2 c3 Spondyloptosis without focal neurological deficit treated with anterior and posterior approaches a case report
Surgical Neurology International, 2021Co-Authors: Arash Fattahi, Abdoulhadi Daneshi, Seyed Mohammad Reza MohajeriAbstract:Background Cervical Spondyloptosis is usually caused by trauma, and correlated with significant neurological deficits that can include quadriplegia, respiratory disorders, vertebral artery injury, and death. Case Description A 34-year-old male presented with C2-C3 spondylolisthesis after a fall from a tree. Although he had no neurological deficits, CT and X-ray studies confirmed C2-C3 a Spondyloptosis. He was treated with emergent anterior and posterior cervical reduction, decompression, and fixation, remaining neurologically intact in the postoperative period. Conclusion Patients with C2-C3 Spondyloptosis documented on X-ray/CT studies should be considered for circumferential decompression/fusion to preserve neurological function.
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traumatic thoracic spine Spondyloptosis treated with spondylectomy and fusion
Surgical Neurology International, 2018Co-Authors: Arash Fattahi, Abdoulhadi DaneshiAbstract:Background There are multiple surgical treatment options for traumatic thoracic spine Spondyloptosis, a three-column spinal injury typically attributed to high-energy trauma. Case description A 20-year-old male presented with back deformity attributed to a fall. On neurological examination, he had complete spinal cord injury below the T6 level. Magnetic resonance and computed tomography imaging documented a T8 vertebral fracture and complete T7/T8 Spondyloptosis. Six days following admission, he underwent a single posterior procedure consisting of a T8 spondylectomy and instrumented fusion from T5 to T11. The patient was mobilized in a wheelchair on the 3rd postoperative day and was discharged on the 11th day following admission. Three months later, the surgical construct was fused and the patient's neurological status remained unchanged. Conclusion Here we present a patient who following a fall sustained a T7/T8 Spondyloptosis resulting in paraplegia treated with a single posterior T8 spondylectomy with T5-T11 instrumented fusion.
Seyed Mohammad Reza Mohajeri - One of the best experts on this subject based on the ideXlab platform.
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posttraumatic c2 c3 Spondyloptosis without focal neurological deficit treated with anterior and posterior approaches a case report
Surgical Neurology International, 2021Co-Authors: Arash Fattahi, Abdoulhadi Daneshi, Seyed Mohammad Reza MohajeriAbstract:Background Cervical Spondyloptosis is usually caused by trauma, and correlated with significant neurological deficits that can include quadriplegia, respiratory disorders, vertebral artery injury, and death. Case Description A 34-year-old male presented with C2-C3 spondylolisthesis after a fall from a tree. Although he had no neurological deficits, CT and X-ray studies confirmed C2-C3 a Spondyloptosis. He was treated with emergent anterior and posterior cervical reduction, decompression, and fixation, remaining neurologically intact in the postoperative period. Conclusion Patients with C2-C3 Spondyloptosis documented on X-ray/CT studies should be considered for circumferential decompression/fusion to preserve neurological function.
Luis M Tumialan - One of the best experts on this subject based on the ideXlab platform.
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basilar artery thrombosis after reduction of cervical Spondyloptosis a cautionary report
Journal of Neurosurgery, 2012Co-Authors: Luis M Tumialan, Nicholas TheodoreAbstract:Traumatic cervical Spondyloptosis is a rare clinical entity typically associated with complete neurological deficit. The inherent mechanics of this fracture-dislocation pattern contorts the vertebral arteries in such a way that it may result in dissection or compromised flow through those vessels. Thus, intimal injury or thrombus from stasis of flow may result. Reduction of the Spondyloptosis restores flow to the vertebral arteries, but it also may mobilize thrombus or propagate an intimal dissection within the previously contorted vessel. The authors review their experience in the care of a 43-year-old man who sustained C4–5 Spondyloptosis while riding an all-terrain vehicle. On arrival, the patient demonstrated no motor function below C-4 but had sensation to the nipple line (American Spinal Injury Association Spinal Cord Injury Classification B). The patient's cranial nerve examination was unremarkable. Computed tomography of the cervical spine demonstrated complete Spondyloptosis at C4–5. The patient ...
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management of traumatic cervical Spondyloptosis in a neurologically intact patient case report
Spine, 2009Co-Authors: Luis M Tumialan, Vladimir Dadashev, David V Laborde, Sanjay K GuptaAbstract:Study design Case report. Objective To review the management of a neurologically intact patient with complete cervical Spondyloptosis with particular attention to the role and timing of closed preoperative cervical traction and subsequent stabilization. Summary of background data Traumatic cervical Spondyloptosis is typically associated with complete and irreversible spinal cord injury. In these patients, cervical traction can be implemented to restore anatomic alignment in preparation for stabilization with minimal consequence. When a patient presents neurologically intact, the management becomes more complicated. Preservation of function and restoration of anatomic alignment collectively represent the goals of therapy. The current literature does not clearly define the role of cervical traction in such cases. Methods A patient with traumatic cervical Spondyloptosis at the C7-T1 level presented to our institution and was found to be neurologically intact. Computed tomography demonstrated complete Spondyloptosis with multiple fractures through the posterior elements. Results The Spondyloptosis was reduced with closed cervical traction and underwent anterior and posterior instrumented stabilization. No new deficit occurred in the patient after reduction. Conclusion Fractures of the posterior elements functionally decompress the spinal canal and thereby allow for cervical traction to be safely implemented in patients with Spondyloptosis. Safe restoration of anatomic alignment in the neurologically intact spondyloptotic patient is crucial to minimize the extent of surgical stabilization and create a long-term stable construct of the fracture dislocation.