ArticleNeurosurgery practice2026
Surgical Reduction Techniques and Outcomes for Cervical Spondyloptosis: A Technical Report and Case Series.
Article in Neurosurgery practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesCervical spondyloptosis, defined as Grade V spondylolisthesis with complete vertebral body displacement, represents the most severe form of spinal trauma with fewer than 100 cases reported in literature. Despite increasing case reports, optimal surgical management remains controversial, with significant heterogeneity regarding reduction techniques and stabilization approaches.
methodsWe present 2 distinct patients with traumatic C7-T1 cervical spondyloptosis treated at our institution between 2021 and 2023, with differences in neurological presentation and fracture morphology that influenced management decisions. Comprehensive literature review analyzed predictive factors for reduction success and surgical approach selection.
resultsBoth patients achieved successful anatomic reduction and stabilization. However, neurological outcomes were variable and correlated with initial injury severity. Patient 2 (American Spinal Injury Association C) progressed to near-complete recovery (4+/5 grip strength only) by the 6-month follow-up, while the Patient 1 (American Spinal Injury Association A) showed no motor recovery at the 4-week follow-up and was subsequently lost to long-term care. No hardware failure or loss of reduction occurred. Literature analysis revealed that facet joint morphology is the primary predictor of closed reduction success, with locked facets necessitating open reduction in 67% of cases.
conclusionCervical spondyloptosis requires individualized surgical planning based on 2 critical decision points: reduction success (predicted primarily by facet joint integrity) and stabilization strategy selection. Single-approach techniques are sufficient when complete closed reduction is achieved, while combined approaches provide optimal stability for complex cases, particularly at the cervicothoracic junction. While successful anatomic reduction can be achieved, neurological recovery remains highly variable and primarily dependent on initial injury severity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.