Spondyloptosis of C6-C7: a rare case report.
A 35 years old female presented to us after falling from a height. She complained of a neck pain and a complete quadriplegia and was diagnosed as having spondyloptosis of the C6-C7. Skeletal traction was performed on her. CT scan showed fractures of the C5, C6, and C7 vertebral body. The patient underwent anterior approach partial corpectomy with anterior cervical locking plate and strut grafting from ipsilateral iliac crest. Intraoperatively it was found that the disc was completely ruptured and there was a dural tear and cerebrospinal fluid leak. Her postoperative period was complicated by cerebrospinal fluid collection and posterior instrumentation was not performed due to the poor general condition. She had no neural recovery at the last follow-up. Spondyloptosis is a severe and highly unstable injury with a three column ligamentous disruption and may be complicated, as in our case, with a dural tear. Management of these cases is fraught with complications, and prognosis for neural recovery is dismal.
Department of Orthopaedics, Guru Teg Bahadur Hospital, University College of Medical Sciences, University of Delhi, New Delhi 110095, India.
Manish
M
Chadha
Ajay-Pal
AP
Singh
Arun Pal
AP
Singh
D000328:Adult; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013168:Spondylolisthesis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*