Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Neurol India. 2022 Sep-Oct;70(Supplement):S182-S188. doi: 10.4103/0028-3886.360921.
Complete subluxation of >100% of one vertebral body with respect to the adjacent vertebra is defined as spondyloptosis. It is the severest form of injury caused by high-energy trauma. Pediatric patients with a traumatic spine injury, particularly spondyloptosis are surgically demanding as reduction and achieving realignment of the spinal column requires diligent planning and execution.
To enlighten readers about this rare but severest form of thoracolumbar spine injury and its management.
Retrospective analysis of patients treated here with spondyloptosis between 2008 and 2016 was done.
Seven children, ranging from 9 to 18 years (mean years) age were included in the study. Five patients had spondyloptosis at thoracolumbar junction and one each in the lumbar and thoracic spine. All patients underwent single-stage posterior surgical reduction and fixation except one patient who refused surgery. Intraoperatively, cord transection was seen in five patients while dura was intact in one patient. The mean follow-up period was 17 months (1-36 months) during which one patient expired due to complications arising from bedsores. All patients remained American Spinal Injury Association (ASIA) A neurologically.
Traumatic spondyloptosis is a challenging proposition to treat and the aim of surgery is to stabilize the spine. Rehabilitation remains the most crucial but the neglected part and dearth of proper rehabilitation centers inflict high mortality and morbidity in developing countries.
超过 100%的一个椎体相对于相邻椎体的完全半脱位被定义为脊椎滑脱。它是由高能创伤引起的最严重的损伤形式。患有创伤性脊柱损伤的儿科患者，特别是脊椎滑脱，手术要求很高，因为需要精心规划和执行以实现脊柱的复位和重新排列。
使读者了解这种罕见但最严重的胸腰椎脊柱损伤及其治疗方法。
对 2008 年至 2016 年在这里接受脊椎滑脱治疗的患者进行回顾性分析。
研究纳入了 7 名年龄在 9 至 18 岁（平均年龄）的儿童。5 名患者在胸腰椎交界处发生脊椎滑脱，1 名患者在腰椎和胸椎处发生脊椎滑脱。除 1 名患者拒绝手术外，所有患者均接受一期后路手术复位和固定。术中，5 名患者出现脊髓横断，1 名患者硬脊膜完整。平均随访时间为 17 个月（1-36 个月），在此期间，1 名患者因褥疮引起的并发症死亡。所有患者的美国脊柱损伤协会（ASIA）神经功能均为 A 级。
创伤性脊椎滑脱的治疗具有挑战性，手术的目的是稳定脊柱。康复仍然是最重要的，但被忽视的部分，缺乏适当的康复中心在发展中国家造成高死亡率和发病率。
