Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center
Objective To evaluate traumatic spondyloptosis cases for neurological, surgical, and outcome perspectives. Materials and Methods This retrospective study includes 17 patients of spondyloptosis admitted in our department between August 2016 and January 2020. Each patient was evaluated in t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2022-12-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726608 |
| _version_ | 1828088034004828160 |
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| author | Rahul Singh Ravi Shankar Prasad Ashvamedh Singh Kulwant Singh Anurag Sahu |
| author_facet | Rahul Singh Ravi Shankar Prasad Ashvamedh Singh Kulwant Singh Anurag Sahu |
| author_sort | Rahul Singh |
| collection | DOAJ |
| description | Objective To evaluate traumatic spondyloptosis cases for neurological, surgical, and outcome perspectives.
Materials and Methods This retrospective study includes 17 patients of spondyloptosis admitted in our department between August 2016 and January 2020. Each patient was evaluated in terms of demographic profile, clinical presentation, duration of injury, mode of injury, associated injuries, level and type of spondyloptosis, spinal cord status, nociceptive and neuropathic pain severity, severity of injury based on International Standards for Neurological Classification of Spinal Cord Injury (ISNCSI) assessment, surgical approaches, complications, and outcome. Unpaired t- test and Chi-square test were used for statistical analysis. Values with p < 0.05 were considered statistically significant.
Results Fall from height (58.8%) was the most common mode of injury. Most common level of spondyloptosis was T12–L1 (41.1%). Sagittal–plane spondyloptosis (76.5%) were more common than coronal–plane spondyloptosis (23.5%). Most common associated injury was musculoskeletal (64.7%). Neurological status of the patient at presentation (p = 0.0007) was significantly associated with outcome after 3 months of surgery/conservative management. Residual listhesis was present in 53.3% of patients postoperatively. Postoperative nociceptive pain (p = 0.0171) and neuropathic pain (0.0329) were significantly associated with residual listhesis. Duration of injury (p = 0.0228) was also significantly associated with postoperative residual listhesis.
Conclusion Complete reduction of spondyloptosis should be the goal of surgery. Overall prognosis of spinal cord injury (SCI) due to traumatic spondyloptosis is poor. |
| first_indexed | 2024-04-11T05:20:53Z |
| format | Article |
| id | doaj.art-47208bc5012441839b1aad0598f3b5b7 |
| institution | Directory Open Access Journal |
| issn | 2277-954X 2277-9167 |
| language | English |
| last_indexed | 2024-04-11T05:20:53Z |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj.art-47208bc5012441839b1aad0598f3b5b72022-12-24T00:58:12ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672022-12-01110323224010.1055/s-0041-1726608Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care CenterRahul Singh0Ravi Shankar Prasad1Ashvamedh Singh2Kulwant Singh3Anurag Sahu4Department of Neurosurgery, Institute of Medical Sciences–Banaras Hindu University, Varanasi, IndiaDepartment of Neurosurgery, Institute of Medical Sciences–Banaras Hindu University, Varanasi, IndiaDepartment of Neurosurgery, Institute of Medical Sciences–Banaras Hindu University, Varanasi, IndiaDepartment of Neurosurgery, Institute of Medical Sciences–Banaras Hindu University, Varanasi, IndiaDepartment of Neurosurgery, Institute of Medical Sciences–Banaras Hindu University, Varanasi, IndiaObjective To evaluate traumatic spondyloptosis cases for neurological, surgical, and outcome perspectives. Materials and Methods This retrospective study includes 17 patients of spondyloptosis admitted in our department between August 2016 and January 2020. Each patient was evaluated in terms of demographic profile, clinical presentation, duration of injury, mode of injury, associated injuries, level and type of spondyloptosis, spinal cord status, nociceptive and neuropathic pain severity, severity of injury based on International Standards for Neurological Classification of Spinal Cord Injury (ISNCSI) assessment, surgical approaches, complications, and outcome. Unpaired t- test and Chi-square test were used for statistical analysis. Values with p < 0.05 were considered statistically significant. Results Fall from height (58.8%) was the most common mode of injury. Most common level of spondyloptosis was T12–L1 (41.1%). Sagittal–plane spondyloptosis (76.5%) were more common than coronal–plane spondyloptosis (23.5%). Most common associated injury was musculoskeletal (64.7%). Neurological status of the patient at presentation (p = 0.0007) was significantly associated with outcome after 3 months of surgery/conservative management. Residual listhesis was present in 53.3% of patients postoperatively. Postoperative nociceptive pain (p = 0.0171) and neuropathic pain (0.0329) were significantly associated with residual listhesis. Duration of injury (p = 0.0228) was also significantly associated with postoperative residual listhesis. Conclusion Complete reduction of spondyloptosis should be the goal of surgery. Overall prognosis of spinal cord injury (SCI) due to traumatic spondyloptosis is poor.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726608traumatic spondyloptosisneurological statusspondylolisthesisasia scalespine injury |
| spellingShingle | Rahul Singh Ravi Shankar Prasad Ashvamedh Singh Kulwant Singh Anurag Sahu Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center Indian Journal of Neurosurgery traumatic spondyloptosis neurological status spondylolisthesis asia scale spine injury |
| title | Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center |
| title_full | Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center |
| title_fullStr | Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center |
| title_full_unstemmed | Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center |
| title_short | Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center |
| title_sort | traumatic spondyloptosis neurological surgical and outcome perspectives in a tertiary care center |
| topic | traumatic spondyloptosis neurological status spondylolisthesis asia scale spine injury |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726608 |
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