Traumatic Lumbosacral Spondyloptosis in a Pediatric Patient: Case Report and Literature Review

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Arquivos
art_YAMAKI_Traumatic_Lumbosacral_Spondyloptosis_in_a_Pediatric_Patient_Case_2018.PDF (6.62 MB)
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
KARGER
Autores
Citação
PEDIATRIC NEUROSURGERY, v.53, n.4, p.263-269, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
A 4-year-old girl was admitted to the emergency department after having been buried beneath a wall. A computed tomography scan revealed anterior grade V L5-S1 spondylolisthesis, and magnetic resonance imaging showed a traumatic rupture of the fibrous annulus of the L5-S1 intervertebral disc and lesion of the anterior longitudinal and yellow ligaments. The patient underwent anterior and posterior fixation. Four months later she was able to walk independently, despite a persistent left foot drop. Additionally, we conducted a literature review on lumbosacral spondyloptosis in the pediatric population published between 1990 and 2017. We found 16 cases, 86.6% of which were male, with a mean patient age of 16 +/- 5.05 years. Most patients underwent spine instrumentation. Based on the data reviewed, the neurological status at admission might be a valid predictor of outcome. Pedicle screws are a safe and reliable procedure for stable fixation of the spine in these cases. The removal of screws is discouraged. (c) 2018 S. Karger AG, Basel.
Palavras-chave
Lumbar dislocation, Pediatric trauma, Spine injury
URI
https://observatorio.fm.usp.br/handle/OPI/28151
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/26