Cervical spine fracture dislocation with mild neurological deficits

Cervical fracture dislocation often leads to neurological deficits, manifesting with sensory and motor symptoms, which may persist even after surgical intervention. We presented two cases with mild neurological deficits following such injuries. In Case 1, the patient presented with left-hand numbness 1 month after a car accident. Despite this, he exhibited full muscle power in all four limbs. Cervical spine MRI revealed a posterior column tear, facet fracture dislocation and spinal cord indentation at the C5/C6 level. The patient underwent open reduction with anterior and posterior fixation. After surgery, the patient was discharged without neurological deficits. In Case 2, the patient complained of mild right wrist extensor weakness and right shoulder muscle atrophy 2 months after a fall at work. Imaging studies revealed a locked facet at the right C6/C7 level. The patient underwent both anterior and posterior surgical interventions, followed by rehabilitation. By the time of discharge, the patient had regained almost full muscle power in all four limbs.