AI Article Synopsis
- The case study examines a 21-year-old man with a traumatic spondylolisthesis at L5-S1 caused by unilateral facet fractures, resulting from a rollover car accident.
- After experiencing low back pain and leg pain, he underwent multiple imaging studies that revealed serious spine injuries, including disc protrusion and facet fractures.
- Following a neurosurgical referral and eventually a lumbar fusion surgery, the patient's symptoms significantly improved, highlighting the importance of monitoring and timely intervention in such injuries.
Article Abstract
Objective: The purpose of this case study is to describe the diagnostic imaging studies of a patient who had a traumatic spondylolisthesis at L5-S1 secondary to unilateral facet fractures.
Clinical Features: A 21-year-old man experienced a rollover motor vehicle crash that led to low back pain and progressive left-sided radiculopathy. Later, he sought treatment from a doctor of chiropractic because he continued to have low back pain with progressive pain down his left leg. A magnetic resonance imaging study demonstrated a left paracentral disc protrusion at L5-S1. Follow-up computed tomography demonstrated multiple transverse process fractures and left-sided L5-S1 facet fractures with spondylolisthesis that progressed over time.
Intervention And Outcome: The patient was referred for a neurosurgical consultation 10 months after the injury. At 12 months after the injury, he underwent transforaminal lumbar interbody fusion with a posterior approach. The patient's pain and radicular symptoms resolved after the surgery.
Conclusion: This patient exhibited posterior element fractures, had continued symptom progression, and was monitored for the development of a spondylolisthesis. Because of progression and exacerbation of symptoms, neurosurgical consultation for surgical stabilization was mandated.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6656905 | PMC |
| http://dx.doi.org/10.1016/j.jcm.2018.12.002 | DOI Listing |
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