Spondyloptosis of C-6-C-7 : a rare case report

被引：14

作者：

Chadha, Manish ^{[1
]}

Singh, Ajay Pal ^{[1
]}

Singh, Arun Pal ^{[2
]}

机构：

[1] Univ Delhi, Dept Orthopaed, Guru Teg Bahadur Hosp, Univ Coll Med Sci, New Delhi 110095, India

[2] Indraprastha Apollo Hosp, Dept Orthopaed & Joint Replacement, New Delhi 110095, India

来源：

CHINESE JOURNAL OF TRAUMATOLOGY | 2010年 / 13卷 / 06期

关键词：

Spondylolisthesis; Spine; Spinal injuries;

D O I：

10.3760/cma.j.issn.1008-1275.2010.06.010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A 35 years old female presented to us after falling from a height. She complained of a neck pain and a complete quadriplegia and was diagnosed as having spondyloptosis of the C-6-C-7. Skeletal traction was performed on her. CT scan showed fractures of the C-5, C-6, and C-7 vertebral body. The patient underwent anterior approach partial corpectomy with anterior cervical locking plate and strut grafting from ipsilateral iliac crest. Intraoperatively it was found that the disc was completely ruptured and there was a dural tear and cerebrospinal fluid leak. Her postoperative period was complicated by cerebrospinal fluid collection and posterior instrumentation was not performed due to the poor general condition. She had no neural recovery at the last follow-up. Spondyloptosis is a severe and highly unstable injury with a three column ligamentous disruption and may be complicated, as in our case, with a dural tear. Management of these cases is fraught with complications, and prognosis for neural recovery is dismal.

引用

页码：377 / 379

页数：3

共 9 条

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