AI Article Synopsis
- Cervical spondyloptosis is a rare but serious spine condition, often lacking clear management guidelines, especially for delayed cases.
- A 28-year-old patient experienced quadriplegia due to trauma and underwent a surgical intervention 45 days later, which included both anterior and posterior approaches, leading to significant neurological recovery.
- Early intervention is crucial for better outcomes, but in delayed instances, combining both surgical techniques can successfully decompress and stabilize the spine, resulting in favorable postoperative results.
Article Abstract
Background: Cervical spondyloptosis is a serious condition scarcely encountered by spine surgeons. Few cases have been reported in the literature. There are no general guidelines for their management, especially in delayed cases. The authors describe their surgical technique for the management of cervical spondyloptosis 45 days after the trauma.
Observations: A 28-year-old patient was admitted 45 days after head and cervical trauma leading to quadriplegia with muscular strength at the C5 level. Cervical computed tomography scanning and magnetic resonance imaging revealed C6-7 spondyloptosis with complete slippage of the C6 vertebral body in front of C7. Posterior and anterior cervical spine approaches during the same surgery allowed decompression and stabilization, leading to a dramatic improvement in the neurological deficit. The patient was able to walk 18 months later with near normal balance.
Lessons: Traumatic cervical spondyloptosis requires early management to increase the possibility of decompression through anatomical realignment and stabilization. In delayed cases, a combined anterior and posterior cervical spine approach according to our technique allows decompression and stabilization with a good postoperative outcome possible.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10778140 | PMC |
| http://dx.doi.org/10.3171/CASE2364 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!