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Survival without Neurological Impairment After Complete Dislocation of the C7 Vertebral Body: A Case Report
Mykola Kyrylenko1, Ender Karadas, Simon-John Pienaar
1UKH Meidling, Kundratstrasse 37-39, A-1120 Vienna, Austria.
Case:
We report a case of a forty-one-year-old woman who sustained a C7/T1 fracture-dislocation due to a vehicle rollover accident. Despite complete dislocation of the C7 vertebral body, no subsequent injury-related neurological deficit occurred. After the initial survey, injury evaluation with computed tomography and magnetic resonance imaging was performed. Immediate open reduction and internal fixation included anterior plating and interbody arthrodesis from C6 to T1 with an iliac crest bone graft. The patient was discharged home ten days postoperatively. Sufficient osseous consolidation was confirmed after two months.
Conclusion:
Immediate surgical treatment in this case resulted in an excellent short-term clinical outcome. Other treatment alternatives are discussed.
