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Updated: May 27, 2025

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
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Cervicomedullary Spinal Cord Injury.

Noah King1, Andrew Waack1, Ethan Kosco1

  • 1University of Toledo College of Medicine and Life Sciences, Department of Neurological Surgery, Toledo, Ohio.

Journal of Orthopaedic Case Reports
|February 17, 2025
PubMed
Summary

This case report details a severe spinal cord injury (SCI) from a motor vehicle accident, resulting in cervicomedullary transection. Despite aggressive treatment, the patient experienced minimal neurological recovery, highlighting the challenges in managing complete SCI.

Keywords:
Cervicomedullaryretrolisthesisspinal cord injurytransectiontrauma

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Area of Science:

  • Neuroscience
  • Trauma Surgery

Background:

  • Spinal cord injury (SCI) is a debilitating condition often resulting from trauma, with prognosis heavily influenced by initial injury severity.
  • Motor vehicle accidents are a leading cause of traumatic SCI.

Observation:

  • A 26-year-old male sustained a complete SCI following a motor vehicle accident.
  • Imaging revealed cervicomedullary transection due to C6-C7 facet distraction and C6 retrolisthesis on C7.
  • The patient presented with a Glasgow Coma Scale of 3.

Findings:

  • The patient achieved limited neurological recovery, including eye tracking, facial expression, and unilateral trapezius function.
  • Despite comprehensive treatment, significant neurological deficits persisted, consistent with a complete SCI.

Implications:

  • This case underscores the poor prognosis associated with complete SCI, even with aggressive interventions.
  • The unique mechanism of injury (C6 retrolisthesis on C7) provides valuable insights into cervicomedullary trauma management.
  • Further research into novel therapeutic strategies for severe SCI is warranted.