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Concomitant cervical fractures without neurological symptoms: a case report
F O F Reilly1, A J C Gheiti2, N Burke2
1Mater Miseridcordiae University, Eccles Street, Dublin 7, Ireland. frankreilly@rcsi.ie.
Irish Journal of Medical Science
|March 13, 2016
Summary
A young man with concurrent C2 vertebral fracture and C6-C7 fracture dislocation from a road traffic accident fully recovered after surgical fixation. This case highlights successful treatment of rare non-contiguous cervical spine injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Spinal Surgery
Background:
- Non-contiguous spinal fractures are rare, often resulting from high-energy trauma like road traffic accidents.
- Cervical spine fractures commonly occur at C2, C6, or C7 levels, with upper cervical injuries (C1-C2) being most severe.
- The case involves a young male with a concomitant non-displaced C2 vertebral body fracture and C6-C7 fracture dislocation.
Observation:
- The patient sustained injuries in a road traffic accident in Ireland.
- He presented with a non-displaced C2 vertebral body fracture and a C6-C7 fracture dislocation.
- Notably, the patient had no neurological deficits despite the severe spinal injuries.
Findings:
- Surgical intervention included anterior cervical discectomy and fusion (ACDF) at C6-C7.
- Simultaneously, peg screw fixation was performed at C2.
- Both procedures were completed through a single incision.
Implications:
- This surgical approach facilitated a full recovery for the patient.
- Concurrent surgical fixation of non-contiguous cervical spine fractures is a viable treatment option.
- Effective management of such rare injuries can lead to excellent patient outcomes.
