C6-C7 Spondyloptosis without Neurological Deficit-A Rare Entity

Ashwarya Aditya Mehra, Uday Singh Raswan and Rahul Mannan

Department of Neurosurgery, Amandeep Hospital, India
Department of Pathology, Amandeep Hospital, India

^*Correspondance to: Uday Singh Raswan 

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Abstract:

Traumatic spondyloptosis of the sub-axial cervical spine is a relatively uncommon entity. Patients usually present with a complete, or rarely a partial neurological deficit. The absence of neurological deficit is very unusual and there are only few such cases reported.Our patient (a 45 year old female) presented with complaint of fall from height with neck pain and marked restriction of neck movement in all directions. She had normal power in both upper and lower limbs. No sensory deficit noted. X-Ray and CT scan of the neck revealed complete fracture dislocation of C6/C7 with fracture of posterior elements of C6 and C7 with rotation. Skeletal traction with 35 lb weight was applied and reduction achieved. Subsequently anterior fixation (C5, C6, C7, D1) was achieved with screws and plate and interbody fusion (C6-C7) with iliac crest graft. On follow up after one year patient has no new complains.We believe that by achieving preoperative reduction followed by anterior stabilization, we converted an unstable fracture into a stable one.

Keywords:

Spondyloptosis; Cervical; Fixation

Cite the Article:

Raswan US. C6-C7 Spondyloptosis without Neurological Deficit-A Rare Entity. Ann Clin Case Rep. 2018; 3: 1566.