Volume 7, Issue 3 (Summer 2021)                   Iran J Neurosurg 2021, 7(3): 165-170 | Back to browse issues page


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Rezaee H, Abouie-Mehriz M A, Mohazzab-Torabi S, Keykhosravi E. Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report. Iran J Neurosurg. 2021; 7 (3) :165-170
URL: http://irjns.org/article-1-272-en.html
1- Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
2- Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran , keykhosravie@mums.ac.ir
Abstract:   (367 Views)
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.
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Type of Study: Case report | Subject: Spine

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