title: Complete fracture of the lamina of the sixth cervical vertebra with hemiplegia: a case report.
abstract: We report the rare case of a 27-year-old man who presented a right sided complete hemiplegia after a neck trauma due to a road traffic accident.
  
  
  
  Computed tomography revealed a complete fracture of the C6 lamina including a partial fracture of the right articular process with complete rotation of the fragment into the spinal canal with a major compression of the right side of the cord. The patient was operated urgently and underwent posterior approach for C6 arch removal followed by a C6C7 anterior fusion as T2 weighted magnetic resonance imaging revealed a completely torn C6C7 disc with a hematoma under the posterior longitudinal ligament associated with an increased cord signal. Patient could walk normally 6 weeks after the accident. At 2 years follow-up, he recovered full sensation of his right body but had a residual intrinsic muscle weakness in his right hand.
  
  
  
  This is the first paper, in the literature, to describe a complete laminar fracture at the cervical spine level with hemiplegia. Early surgical intervention probably provides the better neurological outcome.
authors.affiliation: Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France. anouar.bourghli@gmail.com.
authors.forename: Anouar
authors.initials: A
authors.lastname: Bourghli
authors.affiliation: Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.
authors.forename: Clement
authors.initials: C
authors.lastname: Ribes
authors.affiliation: Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Obeid
authors.affiliation: Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.
authors.forename: Louis
authors.initials: L
authors.lastname: Boissiere
authors.affiliation: Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Vital
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery; D006429:Hemiplegia / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007403:Intervertebral Disc / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D020127:Recovery of Function; D013117:Spinal Cord Compression / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D016103:Spinal Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion; D061665:Time-to-Treatment; D014057:Tomography, X-Ray Computed
keywords: Cervical trauma; Complete laminar fracture; Hemiplegia