Skip to main content
SpringerLink
Log in

Perkutane Stabilisierung der traumatischen Spondylolisthese eines Kindes

Percutaneous stabilization of traumatic spondylolisthesis in a child

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Eine 12-jähriger Junge erleidet nach einer partialen Verschüttung durch eine einstürzende Hauswand eine Flexionsdistraktionsverletzung und eine traumatische Spondylolisthese L5/S1 ohne neurologische Ausfallserscheinungen sowie eine drittgradig offene Unterschenkelluxationsfraktur mit Epiphysiolyse der distalen Tibia links. Die operative Therapie beinhaltet eine geschlossene Reposition und eine perkutane dorsale Instrumentierung L5/S1 sowie eine Osteosynthese des distalen Unterschenkels. Nach der vollständigen Entfernung der Instrumentierung 6 Monate im Verlauf zeigt sich eine freie Beweglichkeit der Wirbelsäule und der Extremitäten.

Abstract

A 12-year-old boy suffered a rare occurrence of a traumatic spondylolisthesis (L5/S1) without neurological alterations after being partially buried underneath a collapsing brick wall. Additionally he sustained a third degree open fracture of the left distal fibula and epiphysiolysis of the left distal tibia. A closed reduction and percutanous dorsal instrumentation L5/S1 as well as an open reduction and osteosynthesis of the tibia and fibula were performed. After 6 months the instrumentation was completely removed and an unrestrained range of motion of the lumbar spine and the upper ankle joint was regained.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Watson-Jones R (1940) Fractures and joint injuries. Williams & Wilkins, Baltimore

  2. Cruz-Conde R, Rayo A, Rodriguez de Oya R et al (2003) Acute traumatic lumbosacral dislocation treated by open reduction internal fixation and fusion. Spine 28(3):E51–E53

    PubMed  Google Scholar 

  3. Das De S, McCreath SW (1981) Lumbosacral fracture dislocations. A report of four cases. J Bone Joint Surg [Br] 63-B(1):58–60

  4. Deniz FE, Zileli M, Cagli S et al (2008) Traumatic L4-L5 spondylolisthesis: case report. Eur Spine J 17(Suppl 2):S232–S235

    Article  PubMed  Google Scholar 

  5. Lim CT, Hee HT, Liu G (2009) Traumatic spondylolisthesis of the lumbar spine: a report of three cases. J Orthop Surg (Hong Kong) 17(3):361–365

    Google Scholar 

  6. Rodrigues LM, Valesin ES, Pohl PH et al (2013) Traumatic L5-S1 spondylolisthesis in a 15-year-old: a case report. J Pediatr Orthop B 22(5):420–423

    Article  PubMed  Google Scholar 

  7. Beguiristain J, Schweitzer D, Mora G et al (1995) Traumatic lumbosacral dislocation in a 5-year-old boy with eight years follow-up. Spine 20(3):362–366

    Article  CAS  PubMed  Google Scholar 

  8. Wilchinsky ME (1987) Traumatic lumbosacral dislocation. A case report and review of the literature. Orthopedics 10(9):1271–1274

    CAS  PubMed  Google Scholar 

  9. Dewey P, Browne PS (1968) Fracture-dislocation of the lumbo-sacral spine with cauda equina lesion. Report of two cases. J Bone Joint Surg [Br] 50(3):635–638

  10. Hilibrand AS, Urquhart AG, Graziano GP et al (1995) Acute spondylolytic spondylolisthesis. Risk of progression and neurological complications. J Bone Joint Surg [Am] 77(2):190–196

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. S.Y. Vetter, K. Wendl, P.A. Grützner, S. Matschke geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

  1. BG-Unfallklinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland

    S.Y. Vetter MD, K. Wendl MD, P.A. Grützner MD, PhD & S. Matschke MD

Authors
  1. S.Y. Vetter MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Wendl MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P.A. Grützner MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Matschke MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S.Y. Vetter MD.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vetter, S., Wendl, K., Grützner, P. et al. Perkutane Stabilisierung der traumatischen Spondylolisthese eines Kindes. Unfallchirurg 118, 177–180 (2015). https://doi.org/10.1007/s00113-014-2651-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-014-2651-y

Schlüsselwörter

Keywords

Search

Navigation