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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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[Multiple cervical spine fractures. Case report].

R Vargas-Mena, M Dufoo-Olvera, O F García-López

    Acta Ortopedica Mexicana
    |May 30, 2015
    PubMed
    Summary

    Surgical management of multiple cervical spine fractures, though rare, can yield favorable outcomes. This case report details a successful two-stage surgical approach for a patient with C2-C6 fractures, leading to neurological improvement and return to daily activities.

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    Area of Science:

    • Orthopedic Surgery
    • Neurosurgery
    • Spinal Trauma Management

    Background:

    • Multiple cervical spine fractures are infrequent, with limited global data and variable outcomes from conservative management.
    • Surgical intervention for such injuries is rarely reported, highlighting a gap in established treatment protocols.

    Observation:

    • A 46-year-old male sustained ASIA C C2-C6 cervical spine fractures from a motor vehicle accident.
    • A two-stage surgical strategy involving posterior and anterior instrumentation was employed.

    Findings:

    • The patient achieved ASIA D neurological status at 19-month follow-up, with only mild residual motor deficit in the left thoracic limb.
    • The patient successfully returned to his previous employment and demonstrated acceptable cervical spine mobility.

    Implications:

    • Surgical management of multiple cervical spine fractures, tailored to individual fracture patterns, can lead to significant neurological recovery and functional restoration.
    • This case supports the recommendation for surgical intervention in select cases of complex cervical spine injuries, offering potential for favorable long-term results.