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Management of Traumatic C6-7 Spondyloptosis with Cord Compression

  • Choi, Man-Kyu (Department of Neurosurgery, Kyung Hee University Hospital) ;
  • Jo, Dae-Jean (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Min-Ki (Department of Neurosurgery, Kyung Hee University Hospital) ;
  • Kim, Tae-Sung (Department of Neurosurgery, Kyung Hee University Hospital)
  • Received : 2013.11.08
  • Accepted : 2014.05.15
  • Published : 2014.05.28

Abstract

A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.

Keywords

References

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