Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report
A 16-year-old boy was diagnosed with spondyloptosis of the cervical spine at the C5–6 level with a neurologic deficit following cervical manipulation. He could not move his upper and lower extremities, but the sensory and autonomic function was spared. The pre-operative American Spinal Cord Injury A...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier Ltd
2022
|
| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/283909/1/259.pdf |
| _version_ | 1797037761162641408 |
|---|---|
| author | Sakti, Yudha Mathan Anzhari, Sharfan Kartika, Andrea Irfantian, Ardicho Ahmad, Husein Sakadewa, Galih Prasetya Alhaq, Zaky Asad Resubun, Alan Philips Kustianto Putra Tarsan, Karsapin |
| author_facet | Sakti, Yudha Mathan Anzhari, Sharfan Kartika, Andrea Irfantian, Ardicho Ahmad, Husein Sakadewa, Galih Prasetya Alhaq, Zaky Asad Resubun, Alan Philips Kustianto Putra Tarsan, Karsapin |
| author_sort | Sakti, Yudha Mathan |
| collection | UGM |
| description | A 16-year-old boy was diagnosed with spondyloptosis of the cervical spine at the C5–6 level with a neurologic deficit following cervical manipulation. He could not move his upper and lower extremities, but the sensory and autonomic function was spared. The pre-operative American Spinal Cord Injury Association (ASIA) Score was B with SF-36 being 25%, and Karnofsky's score was 40%. The patient was disabled and required special care and assistance. We performed anterior decompression, cervical corpectomy at the level of C6 and lower part of C5, deformity correction, cage insertion, bone grafting, and stabilization with an anterior cervical plate. The patient's objective functional score had increased after six months follow up and assessed objectively with the ASIA Impairment Scale (AIS) E or Excellent, SF-36 score 94%, and Karnofsky score was 90%. The patient could carry on regular activity with minor signs or symptoms of the disease. This case report highlights severe complications following cervical manipulation, a summary of the clinical presentation, surgical treatment choices, and a review of the relevant literature. In addition, the sequential improvement of the patient's functional outcome after surgical correction will be discussed. © 2022 The Authors |
| first_indexed | 2024-03-14T00:08:53Z |
| format | Article |
| id | oai:generic.eprints.org:283909 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-14T00:08:53Z |
| publishDate | 2022 |
| publisher | Elsevier Ltd |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2839092023-11-28T06:25:08Z https://repository.ugm.ac.id/283909/ Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report Sakti, Yudha Mathan Anzhari, Sharfan Kartika, Andrea Irfantian, Ardicho Ahmad, Husein Sakadewa, Galih Prasetya Alhaq, Zaky Asad Resubun, Alan Philips Kustianto Putra Tarsan, Karsapin Orthopaedics A 16-year-old boy was diagnosed with spondyloptosis of the cervical spine at the C5–6 level with a neurologic deficit following cervical manipulation. He could not move his upper and lower extremities, but the sensory and autonomic function was spared. The pre-operative American Spinal Cord Injury Association (ASIA) Score was B with SF-36 being 25%, and Karnofsky's score was 40%. The patient was disabled and required special care and assistance. We performed anterior decompression, cervical corpectomy at the level of C6 and lower part of C5, deformity correction, cage insertion, bone grafting, and stabilization with an anterior cervical plate. The patient's objective functional score had increased after six months follow up and assessed objectively with the ASIA Impairment Scale (AIS) E or Excellent, SF-36 score 94%, and Karnofsky score was 90%. The patient could carry on regular activity with minor signs or symptoms of the disease. This case report highlights severe complications following cervical manipulation, a summary of the clinical presentation, surgical treatment choices, and a review of the relevant literature. In addition, the sequential improvement of the patient's functional outcome after surgical correction will be discussed. © 2022 The Authors Elsevier Ltd 2022-05 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/283909/1/259.pdf Sakti, Yudha Mathan and Anzhari, Sharfan and Kartika, Andrea and Irfantian, Ardicho and Ahmad, Husein and Sakadewa, Galih Prasetya and Alhaq, Zaky Asad and Resubun, Alan Philips Kustianto Putra and Tarsan, Karsapin (2022) Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report. International Journal of Surgery Case Reports, 94. p. 106984. ISSN 22102612 https://www.sciencedirect.com/science/article/pii/S2210261222002309?pes=vor 10.1016/j.ijscr.2022.106984 |
| spellingShingle | Orthopaedics Sakti, Yudha Mathan Anzhari, Sharfan Kartika, Andrea Irfantian, Ardicho Ahmad, Husein Sakadewa, Galih Prasetya Alhaq, Zaky Asad Resubun, Alan Philips Kustianto Putra Tarsan, Karsapin Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report |
| title | Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report |
| title_full | Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report |
| title_fullStr | Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report |
| title_full_unstemmed | Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report |
| title_short | Neglected cervical spondyloptosis of the 5TH – 6TH cervical spine following cervical manipulation: A case report |
| title_sort | neglected cervical spondyloptosis of the 5th 6th cervical spine following cervical manipulation a case report |
| topic | Orthopaedics |
| url | https://repository.ugm.ac.id/283909/1/259.pdf |
| work_keys_str_mv | AT saktiyudhamathan neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT anzharisharfan neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT kartikaandrea neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT irfantianardicho neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT ahmadhusein neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT sakadewagalihprasetya neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT alhaqzakyasad neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT resubunalanphilipskustiantoputra neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport AT tarsankarsapin neglectedcervicalspondyloptosisofthe5th6thcervicalspinefollowingcervicalmanipulationacasereport |