[Complete traumatic dislocation of the cervical spine without permanent neurologic sequelae]. 1994

P Tiberin, and Y Hertzanu
Service de Neurochirurgie, Hôpital Soroka, Centre Universitaire des Sciences de la Santé, Université Ben Gourion, Beer-Sheva, Israël.

The authors present their experience with an unusual case of fracture of the lower cervical spine with complete dislocation at C6-C7 level, in a young man involved in a car accident. An initial unilateral root deficit progressed shortly after admission to hospital, to a classical Brown-Sequard' syndrome. The development of a partial cord lesion in spite of the severe dislocation of the spine, could be attributed to the simultaneous "traumatic laminotomy" and the enlargement of the neural canal at the level of the vertebral sliding, that occurred as a result of bilateral fracture of the posterior arc of the 6th cervical vertebra and its separation from the anteriorly displaced vertebral body. Our management consisted in cortico-therapy and early skeletal traction with prolonged immobilization of the cervical column. The closed, rapid reduction of the dislocation under neurologic and radiologic monitoring was followed by successful alignment of the neural canal at 48 hours after injury, with progressive neurologic recovery and by "auto-fusion" of the fractured bones with subsequent, stable and long-lasting consolidation.

UI MeSH Term Description Entries
D008297 Male Males
D002574 Cervical Vertebrae The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK. Cervical Spine,Cervical Spines,Spine, Cervical,Vertebrae, Cervical
D004204 Joint Dislocations Displacement of bones from their normal positions at a joint. Inferior Dislocation,Joint Subluxations,Luxatio Erecta,Dislocation, Joint,Dislocations, Joint,Inferior Dislocations,Joint Dislocation,Joint Subluxation,Subluxation, Joint,Subluxations, Joint
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D016103 Spinal Fractures Broken bones in the vertebral column. Hangman Fracture,Hangman's Fracture,Fracture, Hangman,Fracture, Hangman's,Fracture, Spinal,Fractures, Spinal,Hangmans Fracture,Spinal Fracture

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