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[Traumatic spondyloptosis C7-T1 without neurologic deficit].

G Gómez-Flores1, L E Gutiérrez-Herrera1, M Dufoo-Olvera1

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Summary

Traumatic spondyloptosis, a severe spinal injury from high-energy trauma, involves complete vertebral dislocation, potentially causing spinal cord injury. This case highlights a 360-degree surgical approach for a patient with subaxial cervical spondyloptosis.

Keywords:
Spondyloptosiscervicaltraumatic

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Trauma Surgery

Background:

  • Traumatic spondyloptosis is a severe spinal injury characterized by 100% vertebral dislocation, often resulting from high-energy trauma.
  • This condition represents Allen-Ferguson stages 4 and 5, carrying a high risk of complete spinal cord injury and neurological deficits.

Observation:

  • A clinical case of a 50-year-old male driver involved in a high-impact car accident is presented.
  • The patient sustained a subaxial cervical spondyloptosis injury.

Findings:

  • The patient underwent a complex surgical procedure including C7 hemicorpectomy, C7-T1 discectomy, anterior plating (C6-T1), posterior approach with facetectomies (C7-T1), and transpedicular fixation (T1).
  • This comprehensive anterior-posterior (360-degree) surgical strategy was deemed the optimal treatment for this specific case.

Implications:

  • Subaxial cervical spondyloptosis is a rare but critical injury requiring thorough clinical evaluation and consideration of the injury mechanism for diagnosis.
  • Personalized treatment, including early rehabilitation, is crucial for managing patients with traumatic spondyloptosis.
  • The 360-degree surgical approach can be an effective option for severe cases, aiming to stabilize the spine and prevent further neurological damage.