Unusual XXXX causing complete transaction of spinal cord.

@entity1 @entity91 @entity130 @entity3510
BACKGROUND: @entity130 is defined as greater than 100% of traumatic subluxation of one vertebral body in the coronal or sagittal plane which usually causes the complete transaction of spinal cord. It is a rare but severe @entity130 . We present four unusual cases of @entity130 causing complete spinal cord transaction, which were operated upon successfully. METHODS: We reviewed the imaging findings of four @entity1 with traumatic thoraco-lumbar spondyloptosis from our radiology database, who presented to our @entity130 centre from August 2008 to September 2008. Four @entity1 were identified with ages ranging from ten to 27  years. All @entity1 had sustained high-energy closed @entity3510 . All @entity1 underwent plain radiography, CT and MR imaging. RESULTS: Three @entity1 had @entity91 and one @entity1 had coronal plane spondyloptosis. Complete cord/cauda eqina transection was present in all @entity1 . One @entity1 had low lying cord with complete cord transection. All @entity1 underwent surgery. Reduction of displacement with pedicle screw and rod fixation was carried out to realign the vertebral column. None of the @entity1 recovered neurological function postoperatively. CONCLUSIONS: To conclude, traumatic thoraco-lumbar spondyloptosis is very rare and radiology plays an important role in the diagnosis and management of @entity130 . Surgical reconstruction and stabilisation allows for rehabilitation.
