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Updated: Jul 28, 2026
07:28
A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
Published on: July 24, 2012
Traumatic cervical instability associated with cord oedema and temporary quadriparesis
M Wenger1, P J Adam, F Alarcón
1Neurosurgery, The Hirslanden Group, Klinik Beau-Site Bern, Switzerland.
Spinal Cord
|August 23, 2003
Summary
This case report highlights cervical motion segment instability in spinal cord injury without radiological abnormality (SCIWORA). Early detection and surgical fusion are crucial for preventing further spinal cord damage.
Area of Science:
- Neurology
- Neurosurgery
- Spinal Cord Injury Research
Background:
- Spinal cord injury without radiological abnormality (SCIWORA) presents unique diagnostic challenges.
- Cervical spine trauma can lead to delayed instability even without initial bony lesions.
Observation:
- A 73-year-old male experienced blunt cervical trauma with transient quadriparesis and cord edema at C3/C4.
- Initial imaging showed no bony abnormalities, consistent with SCIWORA.
- Dynamic cervical spine studies revealed significant translational instability at the C3/C4 segment after initial recovery.
Findings:
- The patient underwent successful C3/C4 segment fusion with cage insertion and plate fixation.
- Postoperative recovery was uneventful, with solid bony fusion achieved.
- Neurological deficits almost completely resolved with conservative management prior to surgery.
Implications:
- This case underscores the importance of dynamic imaging in diagnosing occult cervical instability in SCIWORA.
- Surgical intervention, such as segment fusion, may be necessary to prevent progressive neurological damage despite normal alignment and initial recovery.
- Early identification and management of motion segment instability are critical for long-term patient outcomes in SCIWORA.
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