Total recovery spinal cord injury in cervical 5-6 dislocation: Case reports

The challenges in spinal cord injury (SCI) cases are the regeneration mechanism, low recovery rate, and absence of neuroprotective agent. The recovery rate for SCI in cervical spine dislocation is still around 1 %.

The patient is a 59-year-old woman, suffer from SCI in cervical dislocation C4-C5. The initial assessment was cervical trauma with airway, breathing, circulation, and disability problems. The cervical spine was controlled with a collar brace. ASIA impairment scale was grade A. Posterior approach surgery was performed, including open reduction, laminectomy, stabilization, and fusion. It was continued with mechanical ventilation and rehabilitation. Monitoring and follow up was done for three months of surgery.

Early diagnosis, prompt treatment of an interprofessional team, early surgery, mechanical ventilation, steroid administration, and rehabilitation will provide better results. The activity daily living (ADL) assessment was normal, either function of JOA score or disability of ODI score.

The patient has normal neurologic function, including motoric, sensory, urination, and defecation. There is still hope SCI recovery in cervical spine dislocation after early and multidisciplinary treatment.