A case of anterior arch fracture of the atlas associated with C1 laminectomy

BACKGROUND: Spontaneous anterior arch fracture of the atlas after a C1 laminectomy (CIL) is an extremely rare complication. CASE DESCRIPTION: A 72-year-old male presented with the sudden onset of neck pain. His prior history included; a CIL for atlantoaxial subluxation, shunt closure for a spinal du...

Descripción completa

Detalles Bibliográficos
Autores principales: Kawasaki, Toshinari, Takayama, Motohiro, Maki, Yoshinori, Nakajima, Kota, Kobayashi, Tamaki, Saiki, Masaaki, Ioroi, Yoshihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159283/
https://www.ncbi.nlm.nih.gov/pubmed/37151459
http://dx.doi.org/10.25259/SNI_254_2023
_version_ 1785037104098574336
author Kawasaki, Toshinari
Takayama, Motohiro
Maki, Yoshinori
Nakajima, Kota
Kobayashi, Tamaki
Saiki, Masaaki
Ioroi, Yoshihiko
author_facet Kawasaki, Toshinari
Takayama, Motohiro
Maki, Yoshinori
Nakajima, Kota
Kobayashi, Tamaki
Saiki, Masaaki
Ioroi, Yoshihiko
author_sort Kawasaki, Toshinari
collection PubMed
description BACKGROUND: Spontaneous anterior arch fracture of the atlas after a C1 laminectomy (CIL) is an extremely rare complication. CASE DESCRIPTION: A 72-year-old male presented with the sudden onset of neck pain. His prior history included; a CIL for atlantoaxial subluxation, shunt closure for a spinal dural arteriovenous fistula at C3, a cervical laminoplasty from C3 to C6 for stenosis, and a prior anterior C4/5 and C5/6 fusion 14 years ago. Once the computed tomography documented a right C1 anterior arch fracture, and occipital-cervical fusion was performed utilizing C2 laminar screws and C4 pedicle screws with halo-vest placement. Postoperatively, the neck pain resolved and he remained stable. CONCLUSION: Neurosurgeons should be aware of the risk of anterior arch fractures following a CIL and may alternatively consider a C1 laminoplasty in the future.
format Online
Article
Text
id pubmed-10159283
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-101592832023-05-05 A case of anterior arch fracture of the atlas associated with C1 laminectomy Kawasaki, Toshinari Takayama, Motohiro Maki, Yoshinori Nakajima, Kota Kobayashi, Tamaki Saiki, Masaaki Ioroi, Yoshihiko Surg Neurol Int Case Report BACKGROUND: Spontaneous anterior arch fracture of the atlas after a C1 laminectomy (CIL) is an extremely rare complication. CASE DESCRIPTION: A 72-year-old male presented with the sudden onset of neck pain. His prior history included; a CIL for atlantoaxial subluxation, shunt closure for a spinal dural arteriovenous fistula at C3, a cervical laminoplasty from C3 to C6 for stenosis, and a prior anterior C4/5 and C5/6 fusion 14 years ago. Once the computed tomography documented a right C1 anterior arch fracture, and occipital-cervical fusion was performed utilizing C2 laminar screws and C4 pedicle screws with halo-vest placement. Postoperatively, the neck pain resolved and he remained stable. CONCLUSION: Neurosurgeons should be aware of the risk of anterior arch fractures following a CIL and may alternatively consider a C1 laminoplasty in the future. Scientific Scholar 2023-04-14 /pmc/articles/PMC10159283/ /pubmed/37151459 http://dx.doi.org/10.25259/SNI_254_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kawasaki, Toshinari
Takayama, Motohiro
Maki, Yoshinori
Nakajima, Kota
Kobayashi, Tamaki
Saiki, Masaaki
Ioroi, Yoshihiko
A case of anterior arch fracture of the atlas associated with C1 laminectomy
title A case of anterior arch fracture of the atlas associated with C1 laminectomy
title_full A case of anterior arch fracture of the atlas associated with C1 laminectomy
title_fullStr A case of anterior arch fracture of the atlas associated with C1 laminectomy
title_full_unstemmed A case of anterior arch fracture of the atlas associated with C1 laminectomy
title_short A case of anterior arch fracture of the atlas associated with C1 laminectomy
title_sort case of anterior arch fracture of the atlas associated with c1 laminectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159283/
https://www.ncbi.nlm.nih.gov/pubmed/37151459
http://dx.doi.org/10.25259/SNI_254_2023
work_keys_str_mv AT kawasakitoshinari acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT takayamamotohiro acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT makiyoshinori acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT nakajimakota acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT kobayashitamaki acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT saikimasaaki acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT ioroiyoshihiko acaseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT kawasakitoshinari caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT takayamamotohiro caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT makiyoshinori caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT nakajimakota caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT kobayashitamaki caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT saikimasaaki caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy
AT ioroiyoshihiko caseofanteriorarchfractureoftheatlasassociatedwithc1laminectomy

Ejemplares similares