Management of Traumatic Cervical Spondyloptosis with an Unsealable Dura Tear: A Case Report

• DOI: 10.13004/kjnt.2021.17.e22
• Publication Date: 2021-09-10T04:20:05Z
• Authors: Jeong Woo Kwun; Sang Yoon Kim; Sang Koo Lee; Young Jin Kim
• Keywords: Tetraplegia

Cervical spondyloptosis is defined as dislocation of the spinal column, most often caused by trauma. Due to transection cord, severe neurological deficits are common. Here, we reviewed case a young man who presented with mental stupor and complete tetraplegia below level C5. The patient's left shoulder was sucked into machine subjected strong lateral bending distraction. Computed tomography (CT) scan magnetic resonance imaging revealed fracture cord at C5-6 level. Three-dimensional CT showed coronal sagittal spondyloptosis. He underwent open reduction two surgeries performed via anterior posterior approaches: cervical discectomy fusion mass screw fixation allograft from C3 C7. In addition, both ends huge dura defect were sutured. We report clinical history, findings, surgical management transected containing considerable tear.