Cases reported "Spondylolisthesis"

Filter by keywords:



Filtering documents. Please wait...

1/2. Epidural hematoma after immobilization of a "hangman's" fracture: case report and review of the literature.

    BACKGROUND CONTEXT: Neurologic deterioration after immobilization of traumatic spondylolisthesis of the axis rarely occurs because of the decompressive nature of the injury itself and the large amount of space available for the cord in the upper cervical spine. PURPOSE: To document neurologic deterioration after reduction (without the use of traction) and halo immobilization of a Type IIA traumatic spondylolisthesis of the axis (hangman's fracture) secondary to an epidural hematoma. STUDY DESIGN/SETTING: Case report. PATIENT SAMPLE AND OUTCOME MEASURES: The patient population consisted of one patient; no outcome measures were used. methods: The medical record and radiographic studies of a 27-year-old patient involved in a motor vehicle crash that resulted in a traumatic spondylolisthesis of the axis were retrospectively reviewed, and a review of the English literature was performed. RESULTS: Upon evaluation, the patient was found to have, in addition to other injuries, a Type IIA hangman's fracture of the C2 vertebra, which was stabilized in a halo. Shortly thereafter, the patient developed a gradual progressive neurologic deficit. magnetic resonance imaging revealed the presence of a large epidural hematoma with cord compression treated with posterior laminectomy and transdural decompression of an anterior hematoma. Postoperatively, the patient's neurologic examination improved and returned to normal within 6 months. CONCLUSION: An epidural hematoma can occur after traumatic spondylolisthesis of the axis, but its symptoms may not present until after the spondylolisthesis is treated.
- - - - - - - - - -
ranking = 1
keywords = decompressive
(Clic here for more details about this article)

2/2. cauda equina lesions following fusion in situ and decompressive laminectomy for severe spondylolisthesis. Four case reports.

    The authors report four cases of cauda equina lesions following posterior surgery for severe dysplastic spondylolisthesis: three following fusion in situ, and one following decompressive laminectomy. The patients developed urinary retention, saddle anesthesia, and lax anal tone immediately after surgery. The mechanism of the nerve root damage is thought to be mechanical, occurring during decortication before bone grafting. It is recommended that patients should be counseled about the risk of neurologic impairment following decompressive laminectomy or fusion in situ for severe spondylolisthesis.
- - - - - - - - - -
ranking = 6
keywords = decompressive
(Clic here for more details about this article)


Leave a message about 'Spondylolisthesis'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.