Cervical Spondyloptosis: A Case Report

Akay, Kamil Melih; Erşahin, Yusuf; Tabur, Ender

doi:10.1055/s-2002-34342

Cited by 18 publications

(20 citation statements)

References 16 publications

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“…It is more common in the lumbar spine than in the cervical spine, and can be seen following birth trauma3), and congenital conditions2,13) of the cervical spine like absent cervical pedicles, corticated defect in pars interarticularis and neoplastic diseases7) like neurofibromatosis or aneurysmal bone cyst and after vehicle or diving trauma1). It is usually associated with complete cord injury due to cracking of the cord between the arch of the superior vertebra and the posterior surface of the vertebral body below.…”

Section: Discussionmentioning

confidence: 99%

“…An anterior and posterior fusion is the standard management2,9), due to greater realignment and stabilization being achieved in unstable injuries, with all ligamentous structures involving the three columns. But some studies reported that closed reduction followed by limited anterior-only fusion supplemented by rigid postoperative immobilization is more safe and effective than combined fusion3) because the fracture of the adjacent vertebrae may affect the treatment strategy.…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of whether there is a neurologic deficit or not, closed and open reduction and stabilization of the fracture-dislocation are performed mainly in cervical sponyloptosis4). And, a combined anterior and posterior fusion and fixation is preferred for this unstable injury2,9). We present a case of traumatic spondyloptosis of C6-7 with bipedicular fracture of C6 with cord compression.…”

Section: Introductionmentioning

confidence: 99%

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Management of Traumatic C6-7 Spondyloptosis with Cord Compression

Choi

Kim

et al. 2014

J Korean Neurosurg Soc

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A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Management of Traumatic C6-7 Spondyloptosis with Cord Compression

Choi

Kim

et al. 2014

J Korean Neurosurg Soc

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“…Cervical spondyloptosis is relatively rare, and most of the relevant literature is in the form of case reports or short case series. 1,2,4,5,11,17,20,35,36,38 Of note, cervical spondyloptosis has been reported in patients without neurological deficits. 1,20,36,39 Nontraumatic cervical spondyloptosis has been reported in the setting of aneurysmal bone cyst, neurofibromatosis, ankylosing spondylosis, or congenital absence of posterior elements of the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

Traumatic, high-cervical, coronal-plane spondyloptosis with unilateral vertebral artery occlusion: treatment using a prophylactic arterial bypass graft, open reduction, and instrumented segmental fusion

Manjila¹,

Chowdhry²,

Bambakidis³

et al. 2014

SPI

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The authors present a case of traumatic, complete, high cervical spine injury in a patient with gradual worsening deformity and neck pain while in rigid cervical collar immobilization, ultimately resulting in coronal-plane spondyloptosis. Due to the extent of lateral displacement of the spinal elements, preoperative evaluation included catheter angiography, which revealed complete right vertebral artery (VA) occlusion. A prophylactic arterial bypass graft from the right occipital artery to the extradural right VA was fashioned to augment posterior circulation blood supply prior to reduction and circumferential instrumented fusion. Following surgery, the patient was able to participate in an aggressive rehabilitation program allowing early mobilization, and he ceased to be ventilator-dependent following implantation of a diaphragmatic pacer. The authors review factors leading to progression of this type of injury and suggest technical pearls as well as highlight specific management pitfalls, including operative risks.

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“…This movement may preserve the spinal cord from subsequent injury as in our case. Cervical spondyloptosis can be treated conservatively or with either anterior, posterior or combined surgical approaches1,2,4). We decided to perform an anterior decompression as an initial approach to prevent spinal cord from subsequent compression from traumatic disc material.…”

Section: Discussionmentioning

confidence: 99%

The Surgical Management of Traumatic C6-C7 Spondyloptosis

Keskin

Kalkan

Erdi

2013

J Korean Neurosurg Soc

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A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC power 4/5) with severe neck pain. Plain radiographs, computerize tomography and spinal magnetic resonance imaging (MRI) showed C6-7 spondyloptosis and C5, C6 posterior element fractures. Gardner-Wells skeleton traction was applied. Spinal alignment was reachived by traction and dislocation was decreased to a grade 1 spondylolisthesis. Then the patient was firstly operated by anterior approach. Anterior stabilization and fusion was firstly achieved. Seven days after first operation the patient was operated by a posterior approach. The posterior stabilization and fusion was achieved. Postoperative lateral X-rays and three-dimensional computed tomography showed the physiological realignment and the correct screw placements. The patient's quadriparesis was improved significantly. Subaxial cervical spondyloptosis is a relatively rare clinical entity. In this report we present a summary of the clinical presentation, the surgical technique and outcome of this rarely seen spinal disorder.

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Cervical Spondyloptosis: A Case Report

Cited by 18 publications

References 16 publications

Management of Traumatic C6-7 Spondyloptosis with Cord Compression

Management of Traumatic C6-7 Spondyloptosis with Cord Compression

Traumatic, high-cervical, coronal-plane spondyloptosis with unilateral vertebral artery occlusion: treatment using a prophylactic arterial bypass graft, open reduction, and instrumented segmental fusion

The Surgical Management of Traumatic C6-C7 Spondyloptosis

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