Extreme dislocation of the cervical spine—case report

Abstract We present the case of rare extreme dislocation of subaxial cervical spine, which was challenging regarding type and time of surgery. A 22-year-old patient was injured in a traffic accident, from very beginning with signs of spinal shock. Severe traumatic C6/C7 dislocation with resulting tr...

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Bibliographic Details
Published inJournal of surgical case reports Vol. 2024; no. 2; p. rjae039
Main Authors Zagorac, Slavisa, Vasic, Milos, Novakovic, Uros, Mladenovic, Milos, Tulic, Ivan, Teodosic, Valerija, Vracevic, Dragana
Format Journal Article
LanguageEnglish
Published England Oxford University Press 03.02.2024
Subjects
Case Report
timing of the surgical procedure
surgical approach
traumatic C6/C7 dislocation
transection of the spinal cord
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Summary:Abstract We present the case of rare extreme dislocation of subaxial cervical spine, which was challenging regarding type and time of surgery. A 22-year-old patient was injured in a traffic accident, from very beginning with signs of spinal shock. Severe traumatic C6/C7 dislocation with resulting transection of the spinal cord was diagnosed with MDCT imaging. The main dilemmas regarding the surgical treatment of this injury referred to the timing of surgery and the choice of surgical approach. We decided to perform posterior surgery at first stage. Postoperative her condition get worsening and on the 16th postoperative day came to the fatal outcome. Despite all the available protocols, in our case, the decision had to be made on the basis of individual multidisciplinary assessment, bearing in mind the mechanism of the injury and the clinical presentation of the injured patient.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjae039