Pila BM

Language: Spanish
References: 23
Page: 1-12
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ABSTRACT

Objective: To describe the treatment and evolution of a patient with a C7 fracture in transitional cervical column.
Clinical case report: A case of a 30-year patient is reported, who suffered interlock in shallow waters, causing him intense cervical pain accompanied by painful paresthesia in C7 and C8 radicular area, bilaterally, and bradycardia. He underwent a C7 cortectomy, decompression of the dural sac, placement of an intersomatic bone graft of iliac crest and biseze stabilization of the column of Sennegae and cortical screws in C6 and D1, through left ante-lateral surgical approach, to treat a cervical vertebral fracture with full bundle of C7. The postoperative evolution was satisfactory, with disappearance of the symptoms and signs.
Conclusions: The careful evaluation of the patient before the suspicion of this type of injury, following the validated protocols, allowed diagnosis. The new Aospine classification for subaxial cervical column lesions defined the type of treatment to follow, whether conservative or surgical. Surgical treatment consisted of decompressing spinal nerve structures when necessary and stabilizing the injured vertebral segment. In this way, early mobilization and recovery of the patient was achieved. This patient had satisfactory postoperative evolution.

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