Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report
Background and Importance: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits. Case Presentation: We described an unusual clinical presentation of cervical spondyloptosis in a 49-year-old man without neurological impairment and sev...
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| Format: | Article |
| Language: | English |
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Guilan University of Medical Sciences
2021-07-01
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| Series: | Iranian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://irjns.org/article-1-272-en.pdf |
| _version_ | 1827899206911655936 |
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| author | Hamid Rezaee Mohammad Ali Abouie-Mehriz Saman Mohazzab-Torabi Ehsan Keykhosravi |
| author_facet | Hamid Rezaee Mohammad Ali Abouie-Mehriz Saman Mohazzab-Torabi Ehsan Keykhosravi |
| author_sort | Hamid Rezaee |
| collection | DOAJ |
| description | Background and Importance: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits.
Case Presentation: We described an unusual clinical presentation of cervical spondyloptosis in a 49-year-old man without neurological impairment and severe neck pain. Moreover, C6-C7 spondyloptosis was assessed two days after the trauma. X-rays, Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) demonstrated a C6 bi-pedicular fracture, C6-C7 facet dislocation with complete ptosis of C6 vertebral body over C7 and without spinal cord injury. The patient was managed with an intra-operative 4 Kg traction and underwent a posterior decompression, with reduced fracture/dislocation by bilateral completed facetectomies at C6, and fusion from C4 to T3.
Conclusion: This case report emphasized that sometimes cervical spondyloptosis may occur without neurological deficit symptoms. Prompt clinical recognition and surgical removal are essential to prevent serious complications in this respect. |
| first_indexed | 2024-03-12T23:14:50Z |
| format | Article |
| id | doaj.art-d1fed6f833d8498180928cd83bc1fd5d |
| institution | Directory Open Access Journal |
| issn | 2423-6497 2423-6829 |
| language | English |
| last_indexed | 2024-03-12T23:14:50Z |
| publishDate | 2021-07-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neurosurgery |
| spelling | doaj.art-d1fed6f833d8498180928cd83bc1fd5d2023-07-17T13:34:33ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292021-07-0173165170Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case ReportHamid Rezaee0Mohammad Ali Abouie-Mehriz1Saman Mohazzab-Torabi2Ehsan Keykhosravi3 Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Background and Importance: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits. Case Presentation: We described an unusual clinical presentation of cervical spondyloptosis in a 49-year-old man without neurological impairment and severe neck pain. Moreover, C6-C7 spondyloptosis was assessed two days after the trauma. X-rays, Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) demonstrated a C6 bi-pedicular fracture, C6-C7 facet dislocation with complete ptosis of C6 vertebral body over C7 and without spinal cord injury. The patient was managed with an intra-operative 4 Kg traction and underwent a posterior decompression, with reduced fracture/dislocation by bilateral completed facetectomies at C6, and fusion from C4 to T3. Conclusion: This case report emphasized that sometimes cervical spondyloptosis may occur without neurological deficit symptoms. Prompt clinical recognition and surgical removal are essential to prevent serious complications in this respect.http://irjns.org/article-1-272-en.pdfcervical spondyloptosisneurological deficitspinal fusionspinal trauma |
| spellingShingle | Hamid Rezaee Mohammad Ali Abouie-Mehriz Saman Mohazzab-Torabi Ehsan Keykhosravi Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report Iranian Journal of Neurosurgery cervical spondyloptosis neurological deficit spinal fusion spinal trauma |
| title | Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report |
| title_full | Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report |
| title_fullStr | Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report |
| title_full_unstemmed | Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report |
| title_short | Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report |
| title_sort | post traumatic cervical spondyloptosis without neurological deficits a case report |
| topic | cervical spondyloptosis neurological deficit spinal fusion spinal trauma |
| url | http://irjns.org/article-1-272-en.pdf |
| work_keys_str_mv | AT hamidrezaee posttraumaticcervicalspondyloptosiswithoutneurologicaldeficitsacasereport AT mohammadaliabouiemehriz posttraumaticcervicalspondyloptosiswithoutneurologicaldeficitsacasereport AT samanmohazzabtorabi posttraumaticcervicalspondyloptosiswithoutneurologicaldeficitsacasereport AT ehsankeykhosravi posttraumaticcervicalspondyloptosiswithoutneurologicaldeficitsacasereport |