Rodrigues Luciano M R, Valesin Edgar S, Pohl Pedro Henrique I, Milani Carlo
Spine Group, São Paulo, Brazil.
J Pediatr Orthop B. 2013 Sep;22(5):420-3. doi: 10.1097/BPB.0b013e32835ec42f.
Traumatic spondylolisthesis is a rare injury resulting from complex trauma and high-energy mechanisms. We present a case report of traumatic spondylolisthesis at the L5-S1 disc space of a patient who was buried after a wall fell on his back. In the physical examination, bilaterally decreased muscle strength was observed. Examination images indicated a 90% slip at L5-S1. Surgical treatment was provided with a posterior and anterior approach using pedicle fixation and an anterior cage. After 4 months, there was significant recovery of muscle strength in the lower limbs.
创伤性腰椎滑脱是一种由复杂创伤和高能量机制导致的罕见损伤。我们报告一例患者，其在背部被墙砸中后被掩埋，出现了L5-S1椎间盘间隙的创伤性腰椎滑脱。体格检查发现双侧肌肉力量减弱。检查影像显示L5-S1处有90%的滑脱。采用椎弓根固定和前路椎间融合器进行了前后路联合手术治疗。4个月后，下肢肌肉力量有显著恢复。
