简介：在从高度掉落以后介绍给我们的35岁女性。她抱怨了颈疼痛和完全的四肢瘫痪并且作为有C6-C7的spondyloptosis被诊断。骨胳的拖拉在她上被执行。显示出的CT扫描C5，C6，和C7折断脊椎的身体。病人经历了前面的途径有从ipsilateral的前面的颈的锁住板和神气grafting的部分corpectomy肠骨的冠。Intraoperatively，圆盘完全被破裂，有硬脑膜的眼泪和脑髓的液体漏缝，这被发现。她的手术后的时期由脑髓的液体收集是复杂的，以后的乐器学没由于差的一般条件被执行。她没在最后后续有神经恢复。Spondyloptosis是有三列ligamentous混乱的严重、高度不稳定的损害并且可能复杂，与硬脑膜的眼泪，作为在我们的情况中。这些案例的管理与复杂并发症是充满的，并且为神经恢复的预后是忧郁的。

简介：AbstractSpondyloptosis in the clinic is rarely reported. We herein present a 47-year-old female, who suffered from a crush injury directly by a heavy cylindrical object from the lateral side. She was diagnosed to have traumatic L3 spondyloptosis with multiple traumas. Staged surgical procedures were conducted and a three-year follow-up was obtained. Eventually, normal spinal alignment was restored, and neurological deficits were gradually improved. At three years follow-up, the motor strength scores and function of the sphincters were incompletely improved. Previously published reports on traumatic lumbar spondyloptosis were reviewed and several critical points for management of this severe type of spinal injury were proposed. First, thoracolumbar and lumbosacral junction were mostly predilection sites. Second, numerous patients involving traumatic lumbar spondyloptosis were achieved to American Spinal Injury Association grade A. Third, lumbar spondyloptosis was commonly coupling with cauda equina injury. Finally, the outcomes were still with poorly prognosis and recovery of patients was correlation to spondyloptosis severity. Based on this case report and literatures review, we highlighted that the spinal alignment restoration relying on staged operations and following rehabilitation hereof are both important once facing with multiple traumas. Furthermore, we suggested to perform routine CT angiography during lumbar spondyloptosis to justify whether there are large vessel compression or injury.