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Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
GOMEZ-FLORES, G et al. Traumatic spondyloptosis C7-T1 without neurologic deficit. Acta ortop. mex [online]. 2020, vol.34, n.6, pp.412-416. Epub 13-Jun-2022. ISSN 2306-4102. https://doi.org/10.35366/99140.
Traumatic spondyloptosis is a serious injury usually caused by high-energy trauma; It consists of the anterior or posterior dislocation of 100% or more of the underlying vertebral body, which can become a total injury of the spinal cord, producing a neurological deficit; this type of injury represents stage 4 and 5 of Allen-Ferguson.
Clinical case:
A 50-year-old man who suffers a car accident, he receive frontal impact when he was a driver, colliding with the retaining wall, referred from another hospital to emergency room, managed with C7 hemicorpectomy, c7-t1 discectomy, spondylodesis with anterior plate (C6-T1), and posterior approach + Fascetectomies of C7-T1, facet joint screws C6 and transpedicular fixation of T1.
Discussion:
Subaxial cervical spondyloptosis is relatively rare clinical entity, a complete clinical examination is important in diagnosis, taking in considerations the injury mechanism. For treatment we have a multiple options, at this case anterior-posterior (360 degrees) treatment it was the better option for Us; however, must be personalized and consider the early rehabilitation of patient.
Palabras llave : Spondyloptosis; traumatic; cervical.
