Clinical Experience of Traumatic C7-T1 Spondyloptosis

  • Lee, Dong-Geun (Department of Neurosurgery, Gyeongsang National University College of Medicine) ;
  • Hwang, Soo-Hyun (Department of Neurosurgery, Gyeongsang National University College of Medicine) ;
  • Lee, Chul-Hee (Department of Neurosurgery, Gyeongsang National University College of Medicine) ;
  • Kang, Dong-Ho (Department of Neurosurgery, Gyeongsang National University College of Medicine)
  • Published : 2007.02.28

Abstract

Two unusual cases of traumatic spondyloptosis of the cervical spine at the C7-T1 level are reported. One patient was treated with a single-stage combined anterior-posterior and anterior operation to achieve realignment of the cervical spondyloptosis, decompression of the spinal cord and keep of a three-column stabilization of the spine. The other patient was treated with conservative management that consisted of a rigid neck collar and pain control for two months. The patients were managed successfully and both had good neurological outcomes. We present here a summary of the clinical presentations, the surgical technique and results, and a review of the relevant literature.

Keywords

References

  1. Akay KM, Ersahin Y, Tabur E : Cervical spondyloptosis : case report. Minim Invas Neurosurg 45 : 169-172, 2002 https://doi.org/10.1055/s-2002-34342
  2. Bellamy R, Liober A, Smith SD : Congenital spondylolisthesis of the sixth cervical vertebra : case report and description of operative findings. J Bone Joint Surg (Am) 56 : 405-407, 1974 https://doi.org/10.2106/00004623-197456020-00020
  3. Bhojraj SY, Orth D, Orth FCPS, Orth MS, Shahane SM, Orth MS : Posttraumatic cervical spondyloptosis at C6-7 with late onset cord compression : a new clinical entity. case report. J Neurosurg 77 : 792-794, 1992 : 734-735, 1956
  4. Durbin FC : Spondylolisthesis of the cervical spine. J Bone Joint Surg (Br) 38 : 734-735, 1956
  5. Garneti N, Dunn D, El Gamal E, Williams DA, Nelson IW, Sandemon DR : Cervical spondyloptosis caused by aneurysmal bone cyst : case report. Spine 28 : 68-70, 2003 https://doi.org/10.1097/00007632-200302150-00020
  6. Goffin J, Grob D : Spondyloptosis of the cervical spine in neurofibromatosis : case report. Spine 24 : 587-590, 1999 https://doi.org/10.1097/00007632-199903150-00020
  7. Lee CW, Hwang SC, Im SB, Kim BT, Shin WH : Traumatic thoracic spondyloptosis : case report. J Korean Neurosurg Soc 35 : 622-624, 2004
  8. Menku A, Kurtsoy A, Tucer B, Oktem IS, Akdemir H : The surgical management of traumatic C6-7 spondyloptosis in a patient without neurological deficits : case report. Minim Invas Neurosurg 47 : 242-244, 2004 https://doi.org/10.1055/s-2004-818496
  9. Perlman R, Hawes LE : Cervical spondylolisthesis. J Bone Joint Surg (Am) 33 : 1012-1013, 1951
  10. Shah KC, Rajshekhar V : Successful management of posttraumatic C7-T1 spondyloptosis with uninstrumented ventral surgery : case report. Surg Neurol 62 : 431-434, 2004 https://doi.org/10.1016/j.surneu.2003.12.012
  11. Sulla I, Mach P : A patient with spontaneous healing of traumatic spondylolisthesis of the cervical vertebrae : case report. Rozhl Chir 80 : 217-219, 2001
  12. Wild A, Jager M, Werner A, Eulert J, Krauspe R : Treatment of congenital spondyloptosis in an 18-month-old patient with a 10-year follow-up : case report. Spine 26 : 502-505, 2001 https://doi.org/10.1097/00007632-200111010-00021