Version 1
: Received: 4 September 2023 / Approved: 6 September 2023 / Online: 7 September 2023 (10:13:33 CEST)
How to cite:
Udhoji, S.P.; Raghumahanti, R. A Rare Case of Spondyloptosis in a 15 year Old Male: a Clinical Image. Preprints2023, 2023090475. https://doi.org/10.20944/preprints202309.0475.v1
Udhoji, S.P.; Raghumahanti, R. A Rare Case of Spondyloptosis in a 15 year Old Male: a Clinical Image. Preprints 2023, 2023090475. https://doi.org/10.20944/preprints202309.0475.v1
Udhoji, S.P.; Raghumahanti, R. A Rare Case of Spondyloptosis in a 15 year Old Male: a Clinical Image. Preprints2023, 2023090475. https://doi.org/10.20944/preprints202309.0475.v1
APA Style
Udhoji, S.P., & Raghumahanti, R. (2023). A Rare Case of Spondyloptosis in a 15 year Old Male: a Clinical Image. Preprints. https://doi.org/10.20944/preprints202309.0475.v1
Chicago/Turabian Style
Udhoji, S.P. and Raghuveer Raghumahanti. 2023 "A Rare Case of Spondyloptosis in a 15 year Old Male: a Clinical Image" Preprints. https://doi.org/10.20944/preprints202309.0475.v1
Abstract
Spondyloptosis is a condition where there is complete dislocation of L5 over sacrum. It is a form of spinal dislocation in which one spinal segment is lodged in the anterior or posterior space of another or advanced spondylolisthesis [1]. Treatment is usually spinal fusion depending on the level of lesion [2]. This clinical case is of a 15 year old male with a history of fall from auto-rickshaw followed by a blunt trauma from a heavy iron rod falling over his abdomen. There was no history of loss of consciousness, but the patient had an excruciating pain over back immediately after the incident. Patient is now paraplegic with loss of sensation below L5 along with loss bladder and bowel control since the time of injury. The T1 weighted MRI of spine revealed grade 5 anterior lysthesis of L5 over S1 level with complete spinal cord transaction. The patient was operated to restore the vertebral alignment with pedicle screws and rods. After 3 months, patient is now treated for neuro-musculoskeletal , genitourinary and genitointestinal function with biofeedback, pelvic floor exercises and timed voiding [3]. When a patient has issues with urine retention, Valsalva manoeuvres, Crede's method, suprapubic tapping, and anal stretching are employed to help them void more effortlessly [4].
Keywords
Spondyloptosis; Neurogenic bladder and bowel; Physiotherapy; SCI; bladder training
Subject
Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
