title: Concomitant cervical fractures without neurological symptoms: a case report.
abstract: BACKGROUND
  Non-contiguous spinal fractures are rare and most frequently occur in a fall from a height, or high energy trauma such as a road traffic accident (Reid, J Trauma 27:980-986, 1987). Cervical spine fractures tend to occur at two levels, one-third of injuries occur at the level of C2, and one-half of injuries occur at the level of C6 or at C7 (Wittenberg, Spine 27:254-257, 2002). The most devastating and fatal cervical spine injuries occur in upper cervical levels, either at craniocervical junction C1 or C2.
  
  
  METHODS
  The case we present is of a young man involved in a road traffic accident in Ireland who had a concomitant non-displaced C2 vertebral body fracture and a C6-C7 fracture dislocation. The patient had no neurological symptoms.
  
  
  CONCLUSIONS
  Following concurrent ACDF at C6/7 and peg screw fixation of C2 through the same incision the patient made a full recovery.
authors.affiliation: Mater Miseridcordiae University, Eccles Street, Dublin 7, Ireland. frankreilly@rcsi.ie.
authors.forename: F O F
authors.initials: FO
authors.lastname: Reilly
authors.affiliation: Mater Miseridcordiae University, Eccles Street, Dublin 7, Ireland.
authors.forename: A J C
authors.initials: AJ
authors.lastname: Gheiti
authors.affiliation: Mater Miseridcordiae University, Eccles Street, Dublin 7, Ireland.
authors.forename: N
authors.initials: N
authors.lastname: Burke
authors.affiliation: Mater Miseridcordiae University, Eccles Street, Dublin 7, Ireland.
authors.forename: M
authors.initials: M
authors.lastname: Timlin
mesh_terms: D000063:Accidents, Traffic; D002574:Cervical Vertebrae / Q000293:injuries* / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007494:Ireland; D008297:Male; D016103:Spinal Fractures / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cervical; Fractures; Multilevel; Non-contiguous; Trauma