{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T12:05:30Z","timestamp":1781093130671,"version":"3.54.1"},"update-to":[{"DOI":"10.12688\/f1000research.133377.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000}},{"DOI":"10.12688\/f1000research.133377.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000}}],"reference-count":12,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Introduction Traumatic spinal spondyloptosis, though rare, harbingers a high risk of mortality as well as permanent and disabling neurological deficits. They invariably become socially aloof and marginalized in most parts of our subcontinent owing to the lack of dedicated rehabilitation units amid their poor economic status. There is a paucity of studies pertaining to such rare epiphenomenon within our region. Materials ad Methods A retrospective study of 16 patients presenting with spinal spondyloptosis in a tertiary care center in Nepal was undertaken. The clinical records of the patients were retrieved from the hospital record section to study the demographic variables, modes of injury, American Spinal Injury Association (ASIA) grades, salient radiological characteristics, management strategies, and the resultant clinical outcomes. Result The mean age of the cohorts in our study was 40 years with an age range of 25-80 years. Most of the patients presented in ASIA \u2018A\u2019 neurological grade (75%). The cervical spine was involved in the majority (68.75%) of cases. 8 (50%) patients left against medical advice, 2 (12.5%) were managed conservatively, and 6 (37.5%) were operated. The posterior-only approach was undertaken in 4(66.67%) cases. Tracheo-oesophageal fistula occurred in 2 (33.33%) patients. And cerebrospinal fluid (CSF) leak occurred in 2 (33.33%) patients. The overall hospital mortality was 3(37.5%). Conclusion Traumatic spinal spondyloptosis on our center mostly involved cervical spine (68.75%). 75% of the patients presented with ASIA \u2018A\u2019 neurological grade. 50% of them left against medical advice. 37.5% were operated. The overall hospital mortality was 37.5%. This study emphasizes the implementation of a national spinal trauma data bank and the systematic implementation of dedicated neuro-rehabilitation units. This will thereby help improve the clinical outcome among these \u2018socially aloof\u2019 and marginalized subsets of neurosurgical patients.<\/ns3:p>","DOI":"10.12688\/f1000research.133377.3","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T11:55:07Z","timestamp":1748865307000},"page":"474","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic spinal spondyloptosis presenting in a tertiary care unit in central Nepal"],"prefix":"10.12688","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6079-3792","authenticated-orcid":false,"given":"Sunil","family":"Munakomi","sequence":"first","affiliation":[{"name":"Neurosurgery Chitwan College of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"537-543","DOI":"10.2147\/IMCRJ.S428840","article-title":"Irreducible L5\/S1 Spondyloptosis in Over 20 Years After Neglected Trauma Treated with Modified Grob\u2019s Technique - Case Report.","volume":"16","author":"A B\u0119benek","year":"2023 Sep 12","journal-title":"Int Med Case Rep J."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"180-185","DOI":"10.13004\/kjnt.2021.17.e22","article-title":"Management of Traumatic Cervical Spondyloptosis with an Unsealable Dura Tear: A Case Report.","volume":"17","author":"J Kwun","year":"2021 Aug 24","journal-title":"Korean J Neurotrauma."},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.277","article-title":"Traumatic L5 Posterolateral Spondyloptosis: A Case Report and Review of the Literature.","volume":"7","author":"B Gabel","year":"2015 June 14","journal-title":"Cureus."},{"key":"ref4","first-page":"E162-E165","article-title":"Traumatic thoracic spondyloptosis without neurologic deficit, and treatment with in situ fusion.","volume":"38","author":"A Gitelman","year":"2009 Oct","journal-title":"Am J Orthop (Belle Mead NJ)."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"715-720","DOI":"10.3171\/2015.3.SPINE14183","article-title":"Management of traumatic double-level spondyloptosis of the thoracic spine with posterior spondylectomy: case report.","volume":"23","author":"A Rahimizadeh","year":"2015 Dec","journal-title":"J Neurosurg Spine."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"606-610","DOI":"10.30491\/tm.2022.337615.1462","article-title":"Traumatic Sacral Spondyloptosis; Report of an Extremely Rare Case.","volume":"27","author":"A Fattahi","year":"2022","journal-title":"Trauma Mon."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"232-240","DOI":"10.1055\/s-0041-1726608","article-title":"Traumatic spondyloptosis: neurological, surgical, and outcome perspectives in a tertiary care center.","volume":"11","author":"R Singh","year":"2022","journal-title":"Indian J Neurosurg."},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36457","article-title":"Acute Traumatic Spondyloptosis: A Case Report.","volume":"15","author":"J Braithwaite","year":"2023 Mar 21","journal-title":"Cureus."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"158","DOI":"10.4103\/sni.sni_204_18","volume":"9","author":"A Arash Fattahi","year":"2018 Aug 10","journal-title":"Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"647-652","DOI":"10.3171\/2014.10.SPINE1440","article-title":"Traumatic spondyloptosis: a series of 20 patients.","volume":"22","author":"A Mishra","year":"2015 Jun","journal-title":"J Neurosurg Spine."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"9-16","DOI":"10.4103\/jcvjs.jcvjs_132_21","article-title":"Traumatic cervical spine spondyloptosis: A systematic review.","volume":"13","author":"A Khelifa","year":"2022 Jan-Mar","journal-title":"J Craniovertebr Junction Spine."},{"key":"ref12","doi-asserted-by":"publisher","author":"M Sunil","year":"2023","DOI":"10.6084\/m9.figshare.22359802.v3"}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/12-474\/v3\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/12-474\/v3\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/12-474\/v3\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T11:34:07Z","timestamp":1781091247000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/12-474\/v3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":12,"URL":"https:\/\/doi.org\/10.12688\/f1000research.133377.3","relation":{"has-version":[{"id-type":"doi","id":"10.12688\/f1000research.133377.2","asserted-by":"subject"},{"id-type":"doi","id":"10.12688\/f1000research.133377.1","asserted-by":"subject"}],"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.183026.r486487","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.183026.r486487","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/12-474\/v3#article-reports","order":0,"name":"referee-status","label":"Referee 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Bansbari, 20 May 2025, version 2, 1 approved, 1 approved with reservations, 1 not approved","URL":"https:\/\/f1000research.com\/articles\/12-474\/v2#referee-response-382973","order":2,"name":"referee-response-382973","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.183026.r486487, Amit Thapa, Kathmandu Medical College Teaching Hospital, Kathmandu, 10 Jun 2026, version 3, indexed","URL":"https:\/\/f1000research.com\/articles\/12-474\/v3#referee-response-486487","order":3,"name":"referee-response-486487","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}