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Perioperative management and neurological outcomes of traumatic spondyloptosis: A retrospective case series of 14 patients
Xing-Sheng Yu, Zhao-Hu Mao, Zheng-Qi Chang, Department of Orthopaedic Surgery, The 960th Hospital of the PLA, Jinan 250031, Shandong Province, China
Cheng Qiu, Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Ling-Zhi Zhang, Department of Ultrasound Diagnosis, The 960th Hospital of the PLA, Jinan 250031, Shandong Province, China
Co-corresponding authors: Ling-Zhi Zhang and Zheng-Qi Chang.
Author contributions: Yu XS and Mao ZH carried out the study conception; Yu XS, Mao ZH, Qiu C, Zhang LZ and Chang ZQ carried out the literature review and prepared the manuscript draft; Qiu C, and Zhang LZ prepared the figures and tables; Yu XS, and Chang ZQ performed data collection, and analysis; all authors discussed and commented on the final manuscript. All authors read and approved the final manuscript. Zhang LZ and Chang ZQ are appointed as co- corresponding authors given their equally important intellectual contributions to this study. Zhang LZ participated in clinical study design and clinical data interpretation. Chang ZQ supervised the whole project and performed major manuscript revision. Both authors take joint accountability for this manuscript. All authors have consented to this authorship arrangement.
AI contribution statement: No artificial intelligence tools were utilized in the preparation of this manuscript. All contents were fully written, reviewed and validated by the authors.
Institutional review board statement: The study was approved by the Institutional Review Board of the 960th Hospital of PLA (Ethics approval 2026 No. 039).
Informed consent statement: Written informed consent was obtained from all patients, and this study was approved by the Institutional Review Board of the 960th Hospital of PLA.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest related to this article.
Data sharing statement: The datasets generated and analyzed during the present study are not publicly available due to patientprivacy restrictions, but are available from the corresponding author upon reasonable request.
Corresponding author: Zheng-Qi Chang, Department of Orthopaedic Surgery, The 960th Hospital of the PLA, No. 25 Shifan Road, Tianqiao District, Jinan 250031, Shandong Province, China. 26766771@qq.com
Received: June 30, 2026
Revised: August 28, 2026
Accepted: October 13, 2026
Published online: October 18, 2026
Processing time: 110 Days and 20.3 Hours
Revised: August 28, 2026
Accepted: October 13, 2026
Published online: October 18, 2026
Processing time: 110 Days and 20.3 Hours
Core Tip
Core Tip: Traumatic spondyloptosis is a high-energy injury frequently associated with polytrauma and hemorrhagic shock, demanding prioritized emergency resuscitation. In this 14-patient retrospective series, posterior-only instrumentation (with one combined anterior–posterior case) achieved complete anatomical reduction in all cases. Although all patients presented with severe preoperative neurological deficits American Spinal Injury Association (ASIA) (ASIA A/B), 8 of 14 attained ASIA grade elevation at final follow-up. Individualized postoperative rehabilitation reduced complications and promoted neurological recovery, supporting posterior surgery plus tailored rehabilitation as a useful strategy.