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J Orthop Surg (Hong Kong) · Dec 2009
Case ReportsTraumatic spondylolisthesis of the lumbar spine: a report of three cases.
- Chin Tat Lim, Hwan Tak Hee, and Gabriel Liu.
- Department of Orthopaedic Surgery, National University Hospital, Singapore. chintat_lim@yahoo.com.sg
- J Orthop Surg (Hong Kong). 2009 Dec 1;17(3):361-5.
AbstractTraumatic spondylolisthesis of the lumbar spine is uncommon and can result in canal narrowing and spinal cord injury. Early decompression promotes recovery of neurological function. We report 3 such cases: one in the lumbosacral joint and 2 in the lumbar spine. The former patient had an open fracture-dislocation and underwent (delayed) posterior decompression and instrumentation without interbody fusion. The connecting rods broke at 3 years and the patient had a residual neurological deficit. We recommend early decompression with posterior instrumentation and interbody fusion for maximum recovery of neurological function and stability of the spine.
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