Surgical treatment for cervical subluxation caused by trauma: A report case and literature review

Diego Quillo Olvera,Javier Quillo Olvera,Francisco Velazquez Garcia,Javier Quillo Resendiz

doi:10.15761/tec.1000178

Abstract

Surgical treatment for cervical subluxation caused by trauma: A report case and literature review

Highlights

Car accidents, firearm injuries and sports activities are the most common cause of cervical spine injury [1,2]
We present a case of male 62 years old with subluxation of c6-c7 cused by trauma and and his surgical treatment
A 62-year-old man falls presenting a hyperflexion of the neck and sudden quadriparesis. He was taken to the emergency department within the first 8 hrs after the fall where the cervicothoracic CT scan and MRI done and revealed C6–C7 bilateral facet joint dislocation and anterior translation of C6 over C7 (Figure 1)

Summary

Introduction

Firearm injuries and sports activities are the most common cause of cervical spine injury [1,2]. Sub-axial cervical spine, defined as C3 to C7 is vulnerable to traumatic injury, 65% of the fractures and more tan 75% of all dislocations in spine most often C5-C7 [3]. These cervical spine injuries may associated with a severe permanent disability caused by spinal cord injury. A 62-year-old man falls presenting a hyperflexion of the neck and sudden quadriparesis He was taken to the emergency department within the first 8 hrs after the fall where the cervicothoracic CT scan and MRI done and revealed C6–C7 bilateral facet joint dislocation and anterior translation of C6 over C7 (Figure 1). The patient underwent surgery to perform laminectomy C4-C5-C6, partial facet joint resection C6 and posterior C4-C5 lateral mass fixation, T1-T2 transfacet screws obtaining a reduction of subluxation of C6 improving of the alignment in saggital plane (Figure 2) and neurological deficit of the 4 limbs (Figure 3)

Discussion

Findings

Conclusion