C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report

A 27-year-old female involved a motor vehicle collision as the restrained driver presented to the ER with agonal breathing and a Glasgow Coma Scale (GCS) of 3. Radiographic imaging demonstrated C2-3 craniocaudal dislocation, bilateral C2 comminuted pedicle fractures extending through the transverse...

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Detalles Bibliográficos
Autores principales: Kiessling, John W, Whitney, Eric, Fiani, Brian, Khan, Yasir R, Mahato, Deependra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Trauma
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819066/
https://www.ncbi.nlm.nih.gov/pubmed/31687311
http://dx.doi.org/10.7759/cureus.5538
Descripción
Sumario:A 27-year-old female involved a motor vehicle collision as the restrained driver presented to the ER with agonal breathing and a Glasgow Coma Scale (GCS) of 3. Radiographic imaging demonstrated C2-3 craniocaudal dislocation, bilateral C2 comminuted pedicle fractures extending through the transverse foramina, complete bilateral vertebral artery occlusion, and negative signs of stroke with MRI. After halo immobilization, surgical stabilization, and medical treatment the patient was discharged and at her six-month follow up she was without neurological deficit.

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