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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 6

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Acta Ortop Mex 2020; 34 (6)

Traumatic spondyloptosis C7-T1 without neurologic deficit

Gómez-Flores G, Gutiérrez-Herrera L, Dufoo-Olvera M, Ladewig-Bernáldez G, Collado-Arce M, Oropeza-Oropeza E, López-Palacios J, García-López O, May-Martínez E, Pérez-Jacobo G, Silvas-Vásquez M

Language: Spanish
References: 17
Page: 412-416
PDF size: 251.51 Kb.


ABSTRACT

Traumatic spondyloptosis is a serious injury usually caused by high-energy trauma; It consists of the anterior or posterior dislocation of 100% or more of the underlying vertebral body, which can become a total injury of the spinal cord, producing a neurological deficit; this type of injury represents stage 4 and 5 of Allen-Ferguson. Clinical case: A 50-year-old man who suffers a car accident, he receive frontal impact when he was a driver, colliding with the retaining wall, referred from another hospital to emergency room, managed with C7 hemicorpectomy, c7-t1 discectomy, spondylodesis with anterior plate (C6-T1), and posterior approach + Fascetectomies of C7-T1, facet joint screws C6 and transpedicular fixation of T1. Discussion: Subaxial cervical spondyloptosis is relatively rare clinical entity, a complete clinical examination is important in diagnosis, taking in considerations the injury mechanism. For treatment we have a multiple options, at this case anterior-posterior (360 degrees) treatment it was the better option for Us; however, must be personalized and consider the early rehabilitation of patient.


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