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Acute Traumatic Spondyloptosis: A Case Report
Johann Braithwaite1, Joshua Gruber2, Jordan Fakhoury1
1Department of Orthopaedic Surgery, Orthopedic Surgery Residency Program, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Huntington, USA.
Abstract:
Acute traumatic spondyloptosis (ATS) is a rare condition in the orthopedic literature, with few cases reported. We present a case of ATS in a 35-year-old Hispanic male with multilevel injury, without neurological deficits at the time of injury. The patient was treated in a two-stage method consisting of combined anterior and posterior spinal decompression and fusion. At the six-month follow-up, the patient had no motor/sensory deficits, he remained stable during the one-year period. Conclusion: ATS is rarely seen in patients without neurological deficits on presentation. Although surgical intervention presents significant risks of iatrogenic neurologic compromise, surgical fixation is warranted.

