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Related Experiment Video

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Lateral Fluid Percussion: Model of Traumatic Brain Injury in Mice
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Traumatic Lateral Spondyloptosis: Case Series.

Mayank Garg1, Amandeep Kumar1, Dattaraj Parmanand Sawarkar1

  • 1Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

World Neurosurgery
|February 11, 2018
PubMed
Summary

Lateraloptosis, a severe spinal injury, presents surgical challenges. Surgical stabilization is key, but effective rehabilitation is critical for patient outcomes.

Keywords:
Coronal spondyloptosisLateraloptosisSurgical reduction and fixationThoracolumbar spine trauma

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Traumatology

Background:

  • Lateraloptosis is a rare, severe traumatic spine injury defined as complete vertebral subluxation (>100%) where vertebral bodies lie laterally beside each other.
  • This condition poses unique surgical challenges due to the need for meticulous planning for spinal column realignment.
  • Understanding lateraloptosis is crucial for managing complex spinal trauma.

Purpose of the Study:

  • To describe the surgical management of lateraloptosis, a severe form of traumatic spine injury.
  • To highlight the challenges and outcomes associated with treating lateraloptosis.
  • To emphasize the importance of rehabilitation in managing patients with spinal injuries.

Main Methods:

  • Retrospective analysis of patients diagnosed with lateraloptosis between 2013 and 2016.
  • Lateraloptosis definition on CT: >50% of adjacent vertebral bodies lying directly lateral to each other.
  • Surgical intervention involved single-stage posterior reduction and fixation.

Main Results:

  • Five male patients with thoracic or thoracolumbar junction lateraloptosis were included.
  • Intraoperative findings included cord transection (3 patients) and dural tear (1 patient).
  • All patients maintained American Spinal Injury Association grade A neurological status post-surgery, with one mortality due to bedsores.

Conclusions:

  • Lateraloptosis is challenging to treat, with surgical stabilization being the primary goal.
  • Effective rehabilitation is paramount for patient recovery but is often limited by resource scarcity.
  • High mortality and morbidity rates are associated with lateraloptosis due to inadequate rehabilitation facilities.