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The Surgical Management of Traumatic C6-C7 Spondyloptosis
A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hos...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579083/ https://www.ncbi.nlm.nih.gov/pubmed/23441058 http://dx.doi.org/10.3340/jkns.2013.53.1.49 |
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author | Keskin, Fatih Kalkan, Erdal Erdi, Fatih |
author_facet | Keskin, Fatih Kalkan, Erdal Erdi, Fatih |
author_sort | Keskin, Fatih |
collection | PubMed |
description | A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC power 4/5) with severe neck pain. Plain radiographs, computerize tomography and spinal magnetic resonance imaging (MRI) showed C6-7 spondyloptosis and C5, C6 posterior element fractures. Gardner-Wells skeleton traction was applied. Spinal alignment was reachived by traction and dislocation was decreased to a grade 1 spondylolisthesis. Then the patient was firstly operated by anterior approach. Anterior stabilization and fusion was firstly achieved. Seven days after first operation the patient was operated by a posterior approach. The posterior stabilization and fusion was achieved. Postoperative lateral X-rays and three-dimensional computed tomography showed the physiological realignment and the correct screw placements. The patient's quadriparesis was improved significantly. Subaxial cervical spondyloptosis is a relatively rare clinical entity. In this report we present a summary of the clinical presentation, the surgical technique and outcome of this rarely seen spinal disorder. |
format | Online Article Text |
id | pubmed-3579083 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-35790832013-02-25 The Surgical Management of Traumatic C6-C7 Spondyloptosis Keskin, Fatih Kalkan, Erdal Erdi, Fatih J Korean Neurosurg Soc Case Report A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC power 4/5) with severe neck pain. Plain radiographs, computerize tomography and spinal magnetic resonance imaging (MRI) showed C6-7 spondyloptosis and C5, C6 posterior element fractures. Gardner-Wells skeleton traction was applied. Spinal alignment was reachived by traction and dislocation was decreased to a grade 1 spondylolisthesis. Then the patient was firstly operated by anterior approach. Anterior stabilization and fusion was firstly achieved. Seven days after first operation the patient was operated by a posterior approach. The posterior stabilization and fusion was achieved. Postoperative lateral X-rays and three-dimensional computed tomography showed the physiological realignment and the correct screw placements. The patient's quadriparesis was improved significantly. Subaxial cervical spondyloptosis is a relatively rare clinical entity. In this report we present a summary of the clinical presentation, the surgical technique and outcome of this rarely seen spinal disorder. The Korean Neurosurgical Society 2013-01 2013-01-31 /pmc/articles/PMC3579083/ /pubmed/23441058 http://dx.doi.org/10.3340/jkns.2013.53.1.49 Text en Copyright © 2013 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Keskin, Fatih Kalkan, Erdal Erdi, Fatih The Surgical Management of Traumatic C6-C7 Spondyloptosis |
title | The Surgical Management of Traumatic C6-C7 Spondyloptosis |
title_full | The Surgical Management of Traumatic C6-C7 Spondyloptosis |
title_fullStr | The Surgical Management of Traumatic C6-C7 Spondyloptosis |
title_full_unstemmed | The Surgical Management of Traumatic C6-C7 Spondyloptosis |
title_short | The Surgical Management of Traumatic C6-C7 Spondyloptosis |
title_sort | surgical management of traumatic c6-c7 spondyloptosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579083/ https://www.ncbi.nlm.nih.gov/pubmed/23441058 http://dx.doi.org/10.3340/jkns.2013.53.1.49 |
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