Neurological recovery after surgical intervention of a complete spinal cord injury secondary to a chronic untreated odontoid neck fracture: a lesson in patient prognostication
| Autor: | Patricio Iii Espinoza Dumlao, Samuel Arsenio Munoz Grozman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Diagnosis Differential 03 medical and health sciences Young Adult 0302 clinical medicine Intervention (counseling) Odontoid Process Medicine Humans In patient Spinal cord injury Spinal Cord Injuries Odontoid fracture 030222 orthopedics Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions business.industry Accidents Traffic General Medicine Neck fracture medicine.disease Surgery Spinal Fusion Orthopedic surgery Spinal Fractures Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | Odontoid fractures are injuries that can either be benign or devastatingly progress to quadriplegia and significant morbidity and mortality. Management is not clear cut for patients who already present late and with severe neurological deficits. We present a case of a type 2 odontoid fracture with associated complete spinal cord injury (American Spinal Injury Association A) initially untreated for 3 months but was subsequently managed with posterior decompression, instrumentation and occipitocervical fusion. The patient fully recovered all deficits and is independent of activities of daily living. |
| Databáze: | OpenAIRE |
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