• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

创伤性脊椎滑脱的手术治疗：病例系列。

Surgical management of traumatic spondyloptosis: a case series.

机构信息

Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Mahankhal, Kathmandu, Nepal.

Research and Development Unit, National Trauma Center, Mahankhal, Kathmandu, Nepal.

出版信息

J Med Case Rep. 2024 Oct 10;18(1):468. doi: 10.1186/s13256-024-04705-x.

DOI:10.1186/s13256-024-04705-x
PMID:39385287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11465537/
Abstract

BACKGROUND

Traumatic spondyloptosis is a rare and severe spinal injury characterized by complete anterior translation of one vertebra over another, often resulting in debilitating neurological deficits.

CASE PRESENTATION

We present two cases of traumatic spondyloptosis and elaborate on the clinical presentation, management, and follow-up improvement. The first case is a 30-year-old Nepalese man who sustained traumatic spondyloptosis following a blunt force injury to his back while engaged in tree-cutting activities. The patient presented with severe back pain, left lower limb paralysis, and neurological deficits (consistent with American Spinal Injury Association grade C). Radiographic evaluation revealed total anterior dislocation of the L4 vertebral body over L5, accompanied by fractures of the superior endplates of both vertebrae. The second case is a 35-year-old Nepalese female who presented with back pain and lower limb paralysis following a fall from a 300-m cliff, exhibiting tenderness and ecchymosis in the mid-back region. Radiological examination revealed D12 vertebra translation over L1 with fracture, categorized as American Spinal Injury Association grade A. Both cases were surgically managed and stabilized.

CONCLUSION

These cases emphasize the importance of a comprehensive approach to trauma management as well as prompt recognition, and early surgical management in optimizing outcomes for patients with traumatic spondyloptosis.

摘要

背景

创伤性脊椎滑脱是一种罕见且严重的脊柱损伤，其特征为一个椎体完全向前移位越过另一个椎体，常导致严重的神经功能缺损。

病例介绍

我们介绍了两例创伤性脊椎滑脱病例，并详细阐述了临床表现、治疗方法和随访改善情况。第一例是一位 30 岁的尼泊尔男性，在从事伐木活动时背部受到钝性暴力伤后发生创伤性脊椎滑脱。患者表现为严重背痛、左下肢瘫痪和神经功能缺损（符合美国脊髓损伤协会 C 级）。影像学评估显示 L4 椎体完全向前脱位越过 L5，伴有两个椎体的上位终板骨折。第二例是一位 35 岁的尼泊尔女性，从 300 米高的悬崖坠落后面部背部疼痛和下肢瘫痪，中背部有压痛和瘀斑。影像学检查显示 D12 椎体平移越过 L1 并伴有骨折，属于美国脊髓损伤协会 A 级。两例患者均接受了手术治疗和固定。

结论

这些病例强调了全面处理创伤的重要性，以及早期识别和手术治疗对于创伤性脊椎滑脱患者优化治疗结果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/0f34b5bccfcf/13256_2024_4705_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/622a7d92846f/13256_2024_4705_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/8a7113933879/13256_2024_4705_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/8789566c0f6c/13256_2024_4705_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/dcdc9da51c7f/13256_2024_4705_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/e2b45858fb2f/13256_2024_4705_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/6ade9968fb2c/13256_2024_4705_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/cdad95535c22/13256_2024_4705_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/f7ca98a40107/13256_2024_4705_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/68f8b949b77e/13256_2024_4705_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/1313083bbd7e/13256_2024_4705_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/0f34b5bccfcf/13256_2024_4705_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/622a7d92846f/13256_2024_4705_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/8a7113933879/13256_2024_4705_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/8789566c0f6c/13256_2024_4705_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/dcdc9da51c7f/13256_2024_4705_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/e2b45858fb2f/13256_2024_4705_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/6ade9968fb2c/13256_2024_4705_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/cdad95535c22/13256_2024_4705_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/f7ca98a40107/13256_2024_4705_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/68f8b949b77e/13256_2024_4705_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/1313083bbd7e/13256_2024_4705_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55df/11465537/0f34b5bccfcf/13256_2024_4705_Fig11_HTML.jpg

相似文献

1
Surgical management of traumatic spondyloptosis: a case series.创伤性脊椎滑脱的手术治疗：病例系列。
J Med Case Rep. 2024 Oct 10;18(1):468. doi: 10.1186/s13256-024-04705-x.
2
Mid-lumbar traumatic spondyloptosis without neurological deficit: A case report and literature review.无神经功能缺损的中腰部创伤性椎体滑脱：病例报告及文献综述
Medicine (Baltimore). 2020 Mar;99(12):e19578. doi: 10.1097/MD.0000000000019578.
3
Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report.创伤性腰骶脊柱滑脱伤后 5 个月治疗：1 例报告。
Spine (Phila Pa 1976). 2012 Oct 15;37(22):E1410-4. doi: 10.1097/BRS.0b013e318268c08a.
4
Traumatic spondyloptosis of the lumbar spine: closed reduction and internal fixation.创伤性腰椎滑脱：闭合复位与内固定。
Spine (Phila Pa 1976). 2013 Dec 1;38(25):E1636-40. doi: 10.1097/BRS.0b013e3182a64412.
5
Traumatic spondyloptosis of L4.第四腰椎创伤性滑脱
Spine (Phila Pa 1976). 2010 Aug 1;35(17):E855-9. doi: 10.1097/BRS.0b013e3181d798f2.
6
Traumatic spondyloptosis: a series of 20 patients.创伤性椎体滑脱：20例患者系列研究
J Neurosurg Spine. 2015 Jun;22(6):647-52. doi: 10.3171/2014.10.SPINE1440. Epub 2015 Mar 13.
7
Traumatic Lateral Spondyloptosis: Case Series.创伤性腰椎侧方椎体滑脱：病例系列
World Neurosurg. 2018 May;113:e166-e171. doi: 10.1016/j.wneu.2018.01.206. Epub 2018 Feb 7.
8
Traumatic spondyloptosis of the lumbar spine: a case report.腰椎创伤性椎体滑脱：一例报告
J Med Case Rep. 2014 Dec 21;8:453. doi: 10.1186/1752-1947-8-453.
9
Traumatic spondyloptosis of the thoracolumbar spine.胸腰椎创伤性椎体滑脱
J Neurosurg Spine. 2008 Aug;9(2):145-51. doi: 10.3171/SPI/2008/9/8/145.
10
Treatment strategy on traumatic mid-lumbar spondyloptosis with concomitant multiple injuries: A case report and literature review.创伤性胸腰段脊柱滑脱伴多发伤的治疗策略：一例报告并文献复习。
Chin J Traumatol. 2023 Jan;26(1):33-40. doi: 10.1016/j.cjtee.2022.06.006. Epub 2022 Jun 28.

本文引用的文献

1
Acute Traumatic Spondyloptosis: A Case Report.急性创伤性椎体滑脱：一例报告
Cureus. 2023 Mar 21;15(3):e36457. doi: 10.7759/cureus.36457. eCollection 2023 Mar.
2
Classification in Brief: The Meyerding Classification System of Spondylolisthesis.简要分类：腰椎滑脱的迈耶丁分类系统
Clin Orthop Relat Res. 2020 May;478(5):1125-1130. doi: 10.1097/CORR.0000000000001153.
3
Traumatic spondyloptosis: a series of 20 patients.创伤性椎体滑脱：20例患者系列研究
J Neurosurg Spine. 2015 Jun;22(6):647-52. doi: 10.3171/2014.10.SPINE1440. Epub 2015 Mar 13.
4
Traumatic spondyloptosis of the lumbar spine: a case report.腰椎创伤性椎体滑脱：一例报告
J Med Case Rep. 2014 Dec 21;8:453. doi: 10.1186/1752-1947-8-453.
5
Traumatic L5 over S1 spondyloptosis without neurological involvement managed nonoperatively: a case report.非手术治疗无神经损伤的创伤性L5椎体滑脱至S1：1例病例报告
Chin J Traumatol. 2013;16(3):178-81.