Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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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
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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.

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References

  1. Acikbas C, Gurkanlar D : Post-traumatic C7-T1 Spondyloptosis in a patient without neurological deficit : a case report. Turk Neurosurg 20 : 257-260, 2010
  2. Akay KM, Ersahin Y, Tabur E : Cervical spondyloptosis : a case report. Minim Invasive Neurosurg 45 : 169-172, 2002 https://doi.org/10.1055/s-2002-34342
  3. Bhojraj SY, Shahane SM : Posttraumatic cervical spondyloptosis at C6-7 with late-onset cord compression : a new clinical entity. Case report. J Neurosurg 77 : 792-794, 1992 https://doi.org/10.3171/jns.1992.77.5.0792
  4. Dahdaleh NS, Dlouhy BJ, Greenlee JD, Smoker WR, Hitchon PW : An algorithm for the management of posttraumatic cervical spondyloptosis. J Clin Neurosci 20 : 951-957, 2013 https://doi.org/10.1016/j.jocn.2012.08.008
  5. Dunlap BJ, Karaikovic EE, Park HS, Sokolowski MJ, Zhang LQ : Load sharing properties of cervical pedicle screw-rod constructs versus lateral mass screw-rod constructs. Eur Spine J 19 : 803-808, 2010 https://doi.org/10.1007/s00586-010-1278-0
  6. Garneti N, Dunn D, El Gamal E, Williams DA, Nelson IW, Sandemon DR : Cervical spondyloptosis caused by an aneurysmal bone cyst : a case report. Spine (Phila Pa 1976) 28 : E68-E70, 2003
  7. Goffin J, Grob D : Spondyloptosis of the cervical spine in neurofibromatosis. A case report. Spine (Phila Pa 1976) 24 : 587-590, 1999 https://doi.org/10.1097/00007632-199903150-00020
  8. Johnston TL, Karaikovic EE, Lautenschlager EP, Marcu D : Cervical pedicle screws vs. lateral mass screws : uniplanar fatigue analysis and residual pullout strengths. Spine J 6 : 667-672, 2006 https://doi.org/10.1016/j.spinee.2006.03.019
  9. Lee DG, Hwang SH, Lee CH, Kang DH : Clinical experience of traumatic C7-T1 spondyloptosis. J Korean Neurosurg Soc 41 : 127-129, 2007
  10. Mamindla RK, Kumar A, Bhattacharjee S, Sahu BP : A novel case of "ambulatory" cervical spondyloptosis : case report with literature review. Eur Spine J 23 Suppl 2 : 161-166, 2014 https://doi.org/10.1007/s00586-013-2827-0
  11. Menku A, Kurtsoy A, Tucer B, Oktem IS, Akdemir H : The surgical management of traumatic C6-C7 spondyloptosis in a patient without neurological deficits. Minim Invasive Neurosurg 47 : 242-244, 2004 https://doi.org/10.1055/s-2004-818496
  12. Ozdogan C, Gogusgeren MA, Dosoglu M : Posttraumatic cervical spondyloptosis 'Case Report'. Turk J Trauma Emerg Surg 5 : 46-48, 1999
  13. Song KC, Cho KS, Lee SB : Congenital defect of the posterior arch of cervical spine : report of three cases and review of the current literature. J Korean Neurosurg Soc 48 : 294-297, 2010 https://doi.org/10.3340/jkns.2010.48.3.294
  14. Srivastava SK, Agrawal KM, Sharma AK, Agrawal MD, Bhosale SK, Renganathan SR : C3-C4 spondyloptosis without neurological deficit-a case report. Spine J 10 : e16-e20, 2010 https://doi.org/10.1016/j.spinee.2010.05.002
  15. Tumialan LM, Dadashev V, Laborde DV, Gupta SK : Management of traumatic cervical spondyloptosis in a neurologically intact patient : case report. Spine (Phila Pa 1976) 34 : E703-E708, 2009 https://doi.org/10.1097/BRS.0b013e3181b1fc3a