Management of Traumatic C6-7 Spondyloptosis with Cord Compression.
10.3340/jkns.2014.55.5.289
- Author:
Man Kyu CHOI
1
;
Dae Jean JO
;
Min Ki KIM
;
Tae Sung KIM
Author Information
1. Department of Neurosurgery, Kyung Hee University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Spondyloptosis;
Anterior stabilization;
Posterior stablilization
- MeSH:
Diskectomy;
Foraminotomy;
Humans;
Laminectomy;
Male;
Middle Aged;
Spine;
Traction
- From:Journal of Korean Neurosurgical Society
2014;55(5):289-292
- CountryRepublic of Korea
- Language:English
-
Abstract:
A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.
