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Updated: Mar 14, 2026
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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
Published on: July 25, 2025
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Noncontiguous double-level unstable spinal injuries.
Masanari Takami1, Motohiro Okada2, Yoshio Enyo2
1Department of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan. maatomo324@gmail.com.
Summary
Noncontiguous double-level unstable spinal injuries (NDUSI) are uncommon but frequently result from high-energy trauma. Early recognition with full spine CT is crucial to avoid missed diagnoses and ensure timely surgical intervention.
Area of Science:
- Orthopedics
- Trauma Surgery
- Neurosurgery
Background:
- Noncontiguous double-level unstable spinal injuries (NDUSI) are rare and poorly described.
- Understanding NDUSI patterns is essential for effective diagnosis and treatment.
Purpose of the Study:
- To elucidate the patterns of NDUSI.
- To recommend appropriate diagnostic and treatment strategies.
- To increase awareness of NDUSI among trauma specialists.
Main Methods:
- Retrospective review of 18 patients with NDUSI.
- Study included 710 consecutive spine fracture patients over 9 years.
- Data collected from a single regional trauma center.
Main Results:
- NDUSI occurred in 2.5% of all spine fractures.
- High-energy trauma caused NDUSI in 94.7% of cases.
- Complete neurological deficit was observed in 50% of patients.
Conclusions:
- NDUSI are common in high-energy trauma and require careful initial assessment.
- Full spine computed tomography (CT) aids in identifying overlooked fractures.
- Posterior surgical approach for reduction and fixation is recommended; rapid surgery is vital for elderly patients.
Keywords:
Floating spine injuriesHigh-energy traumaNoncontiguous double-level unstable spinal injuriesSpinal cord injurySurgical treatment
