The Surgical Management of Traumatic C6-C7 Spondyloptosis.
10.3340/jkns.2013.53.1.49
- Author:
Fatih KESKIN
1
;
Erdal KALKAN
;
Fatih ERDI
Author Information
1. Department of Neurosurgery, Konya University Meram Faculty of Medicine, Konya, Turkey.
- Publication Type:Case Report
- Keywords:
Cervical spondyloptosis;
Spinal cord compression;
Spinal stabilization
- MeSH:
Decompression;
Dislocations;
Emergencies;
Female;
Humans;
Magnetic Resonance Imaging;
Neck Pain;
Quadriplegia;
Skeleton;
Spinal Cord Compression;
Spine;
Spondylolisthesis;
Traction
- From:Journal of Korean Neurosurgical Society
2013;53(1):49-51
- CountryRepublic of Korea
- Language:English
-
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.
