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The Surgical Management of Traumatic C6-C7 Spondyloptosis
Journal of Korean Neurosurgical Society ; : 49-51, 2013.
Article in English | WPRIM | ID: wpr-205972
ABSTRACT
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.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Quadriplegia / Skeleton / Spinal Cord Compression / Spine / Traction / Spondylolisthesis / Magnetic Resonance Imaging / Neck Pain / Decompression / Joint Dislocations Limits: Female / Humans Language: English Journal: Journal of Korean Neurosurgical Society Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Quadriplegia / Skeleton / Spinal Cord Compression / Spine / Traction / Spondylolisthesis / Magnetic Resonance Imaging / Neck Pain / Decompression / Joint Dislocations Limits: Female / Humans Language: English Journal: Journal of Korean Neurosurgical Society Year: 2013 Type: Article