Six-year follow-up of a survivor of cervical spine fracture and dislocation with oesophageal perforation following long scarf syndrome - a case report and literature review

The study discusses a rare injury pattern called “Long Scarf Syndrome,” where a scarf gets caught in a vehicle's wheels, leading to accidental strangulation. The case report focuses on a woman who survived a severe cervical spine fracture and oesophageal perforation resulting from this syndrome. The patient was treated conservatively due to her poor condition, and after a long follow-up, she survived with tetraplegia.

• 1
  The patient survived a rare combination of cervical spine fracture dislocation and oesophageal perforation after Long Scarf Syndrome.
• 2
  Conservative treatment, including halo-vest immobilization and enteral feeding, led to spontaneous closure of the oesophageal perforation.
• 3
  Six-year follow-up showed the patient survived with complete C5 tetraplegia and healed oesophageal-cutaneous fistula.