گزارش یک مورد l۴ traumatic spondyloptosis
نویسندگان
چکیده
بیمار مرد سی ساله ای است که به علت سقوط از ارتفاع ده متری با شکستگی l5 ودررفتگی کاملl4 به طرف قدام همراه با علایم عصبی و ضایعات داخل شکمی مراجعه کرده بود به علت پارگی احشا در مرکز دیگری تحت عمل جراحی لاپاراتومی و ایلئوستومی قرار گرفته و بیمار کاندید جراحی بود ولی به علت مشکلات شکمی و زخم بستر و بدی حال عمومی، عمل جراحی با خطر بالا همراه بود لذا بیمار با بریس به مدت شش ماه درمان شد. بعد از گذشت سه سال از تروما علایم عصبی بیمار به طور کامل برطرف شده و مشکلی در راه رفتن و انجام فعالیتهایی روزانه ندارد رادیوگرافی انجام شده در آخرین پیگیری جوش خوردن شکستگی در همان وضعیت اولیه را نشان می دهد. نتیجه گیری : l4 traumatic spondyloptosis یافته نادری است که نیاز به درمان جراحی دارد ولی در مواردی که به دلایل مختلف درمان جراحی با ریسک با لا وخطر جانی همراه باشد ممکن است درمان غیر جراحی نتیجه قابل قبولی داشته باشد.
منابع مشابه
گزارش یک مورد L4 TRAUMATIC SPONDYLOPTOSIS
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 treat...
متن کاملManagement of Traumatic C6-7 Spondyloptosis with Cord Compression
A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation...
متن کاملThe Surgical Management of Traumatic C6-C7 Spondyloptosis
A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC...
متن کاملUnusual Traumatic Midthoracic Spondyloptosis and Its Surgical Management: Case Report
Posttraumatic spondyloptosis develops as a result of complete subluxation of the vertebral bodies and causes complete transection of the spinal cord. Severe trauma-related spondyloptosis of the upper-mid thoracic region is a rare form of spinal trauma. Traumatic midthoracic spondyloptosis is quite rare, and radiology plays an important role in the diagnosis and treatment of this condition. Surg...
متن کاملTraumatic spondyloptosis at the cervico-thoracic junction without neurological deficits
BACKGROUND There have been rare cases of traumatic cervical spondyloptosis without neurological compromise. We report another case and provide a review of the literature, with a focus on appropriate management. CASE DESCRIPTION A 60-year-old male rode his bicycle into a stationary semi-truck. He reported initial bilateral upper extremity paresthesias that resolved. Imaging demonstrated C7 on ...
متن کاملTraumatic spondyloptosis of the lumbar spine: a case report
INTRODUCTION Spondyloptosis is the most severe of translation spine injuries. It results in complete disruption of the structural elements of the vertebral column and the adjacent paravertebral soft tissues, culminating in severe biomechanical instability. Although several cases of lumbosacral spondyloptosis have been documented, not many cases of traumatic lumbar spondyloptosis have been publi...
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عنوان ژورنال:
مجله دانشگاه علوم پزشکی شهید صدوقی یزدجلد ۱۴، شماره ۴، صفحات ۸۱-۸۳
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