Dural tear associated with a flexion distraction subluxation to the cervical spine without neurologic injury.
The authors report an unusual cervical spine flexion distraction injury presenting initially without a neurologic deficit who was found during a posterior stabilization procedure to have a large dural tear with a cerebral spinal fluid leak. The occurrence of dural tears in the setting of cervical injury without severe neurologic injury has not been previously reported. Optimal management of this unusual condition is suggested and results of the treatment are provided.
Penn State College of Medicine, Hershey, USA.
D
D
De Gelb
L
L
Lenke
J
J
Pond
D000368:Aged; D001132:Arm; D002555:Cerebrospinal Fluid / Q000502:physiology; D002574:Cervical Vertebrae / Q000293:injuries*; D004388:Dura Mater / Q000293:injuries*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000601:surgery; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy; D017843:Ligamentum Flavum / Q000293:injuries; D018908:Muscle Weakness / Q000175:diagnosis; D012421:Rupture; D013119:Spinal Cord Injuries; D013123:Spinal Fusion; D014143:Traction