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  4. Cervical spine fracture dislocation with mild neurological deficits

Cervical spine fracture dislocation with mild neurological deficits

BMJ Case Rep, 2025 · DOI: 10.1136/bcr-2024-263165 · Published: January 10, 2025

SurgeryOrthopedicsResearch Methodology & Design

Simple Explanation

The paper presents two cases of cervical spine fracture dislocation where patients had mild neurological deficits. Both patients underwent surgical intervention involving open reduction and fixation, resulting in improved neurological outcomes. The cases highlight the importance of careful examination and radiographic evaluation in patients with high-energy trauma, even if symptoms are mild.

Study Duration
Not specified
Participants
Two patients with cervical spine fracture dislocation
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    Case 1 involved a patient with left-hand numbness after a car accident who had a C5/C6 facet fracture dislocation and spinal cord indentation, treated with open reduction and fixation.
  • 2
    Case 2 involved a patient with right wrist extensor weakness and shoulder muscle atrophy after a fall who had a C6/C7 locked facet, treated with anterior and posterior surgical interventions.
  • 3
    In both cases, surgical intervention led to significant improvement in neurological symptoms and functional outcomes.

Research Summary

Cervical fracture dislocation often leads to neurological deficits, manifesting with sensory and motor symptoms, which may persist even after surgical intervention. In Case 1, the patient presented with left-­hand numbness 1 month after a car accident...After surgery, the patient was discharged without neurological deficits. In Case 2, the patient complained of mild right wrist extensor weakness and right shoulder muscle atrophy 2 months after a fall at work...By the time of discharge, the patient had regained almost full muscle power in all four limbs.

Practical Implications

Importance of thorough examination

Even with mild symptoms after trauma, cervical spine injuries should be thoroughly investigated with imaging.

Surgical intervention effectiveness

Surgical intervention involving reduction and fixation can be effective in improving neurological outcomes in cervical fracture dislocations.

Individualized treatment approach

Management of cervical fracture dislocations should be individualized based on patient presentation and imaging findings.

Study Limitations

  • 1
    Case report format limits generalizability.
  • 2
    Limited follow-up period for both cases.
  • 3
    Lack of a control group for comparison.

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