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  4. Fracture Dislocation at the Level of C6-C7: A Case Report and Literature Review

Fracture Dislocation at the Level of C6-C7: A Case Report and Literature Review

Cureus, 2023 · DOI: 10.7759/cureus.34675 · Published: February 6, 2023

SurgeryTraumaOrthopedics

Simple Explanation

Cervical spine fractures can have devastating long-term effects, with spinal cord injuries occurring in up to 50% of cases. Early recognition and intervention are crucial to prevent exacerbation of the injury. This case report describes a patient with a C6-C7 fracture dislocation who experienced neurological improvement after fixation and rehabilitation, highlighting the importance of prompt intervention. The patient, a 41-year-old male, presented with severe neck pain and a right upper limb neurological deficit following a motor vehicle accident. He underwent surgical intervention involving facetectomy, corpectomy, mesh plating, and bone grafting.

Study Duration
Two years follow up
Participants
One 41-year-old male patient
Evidence Level
Case Report and Literature Review

Key Findings

  • 1
    The patient's neurological status returned to normal after surgical intervention and rehabilitation, with full power and sensation regained in all limbs at the two-year follow-up.
  • 2
    CT images showed translation of the cervical at the level of C6-C7 of more than 75% anteriolisthesis.
  • 3
    MRI showed a traumatic disc at the same level compromising the spinal canal with posterior disruption of the ligamentous complex.

Research Summary

This case report describes a C6-C7 fracture dislocation with associated neurological deficits following a motor vehicle accident. Early surgical intervention, including decompression and stabilization, led to significant neurological recovery. Literature review suggests that early intervention and decompression of the spinal cord are crucial for improved outcomes in cervical spine fracture dislocations. The case highlights that while some patients with similar presentations may experience long-term neurological deficits, prompt and efficient management can maximize benefits.

Practical Implications

Early Diagnosis and Intervention

Prompt recognition and surgical management of cervical spine fracture dislocations are essential for improving patient outcomes and neurological recovery.

Surgical Technique

Combined anterior and posterior approaches may be necessary in complex cases with locked facet joints or posterior structures invading the vertebral canal.

Rehabilitation Importance

Post-operative rehabilitation plays a critical role in maximizing neurological recovery and functional outcomes.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Literature review may have publication bias.
  • 3
    Lack of control group for comparison.

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