en Spine Case report <div style="text-align: justify;"><strong>Background and Importance</strong>: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits.<br> <strong>Case Presentation</strong>: 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.<br> <strong>Conclusion</strong>: 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.</div> Cervical spondyloptosis, Neurological deficit, Spinal fusion, Spinal trauma 165 170 http://irjns.org/browse.php?a_code=A-10-317-2&slc_lang=en&sid=1 Hamid Rezaee H_rezaee56@yahoo.com 10031947532846006965 10031947532846006965 No Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Mohammad Ali Abouie-Mehriz 10031947532846006966 10031947532846006966 No Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Saman Mohazzab-Torabi smntrb@gmail.com 10031947532846006967 10031947532846006967 No Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Ehsan Keykhosravi keykhosravie@mums.ac.ir 10031947532846006968 10031947532846006968 Yes Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran