| Autor: |
Christopher Payne, Michael J. Gigliotti, Alejandro Castellvi, Alexander Yu, Philip S. Lee |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Interdisciplinary Neurosurgery, Vol 20, Iss , Pp - (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2214-7519 |
| DOI: |
10.1016/j.inat.2020.100678 |
| Popis: |
Background and importance: Cervical spondyloptosis is defined as >100% anterior or posterior subluxation of the spondyloptotic vertebral body on a subadjacent vertebral body. This often results in severe neurologic deficits; however, this occasionally has been reported in neurologically intact patients. There have only been two cases of spondyloptosis at the cervicothoracic junction reported in the research literature. Clinical presentation: A 63-year-old male had complete spondyloptosis at C7-T1 after a ground level fall. The patient did not present with neurologic deficits. The patient underwent a C2-T3 posterior fusion with C3-T1 laminectomy. Post-operative course was complicated by superficial dehiscence and infection with methicillin-sensitive Staphylococcus aureus, which was managed with incision and drainage along with one week of Cephalexin. At last follow-up, the patient was doing clinically well. Conclusion: Early operative intervention without cervical traction and closed reduction pre-operatively in a patient with cervicothoracic spondyloptosis resulted in a good clinical outcome. Keywords: Spondyloptosis, Spine, Neurosurgery |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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