Cervicomedullary Spinal Cord Injury
Introduction: Spinal cord injury (SCI) is most common following trauma, typically involving motor vehicle incidents. The clinical prognosis depends on many factors, most importantly the initial grade of injury. Case Report: We present a 26-year-old male who presents to the emergency department after...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-02-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/02/01/cervicomedullary-spinal-cord-injury/ |
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| _version_ | 1850208669244850176 |
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| author | Noah King Andrew Waack Ethan Kosco Aastha Bhavsar Jason Schroeder Alastair Hoyt |
| author_facet | Noah King Andrew Waack Ethan Kosco Aastha Bhavsar Jason Schroeder Alastair Hoyt |
| author_sort | Noah King |
| collection | DOAJ |
| description | Introduction:
Spinal cord injury (SCI) is most common following trauma, typically involving motor vehicle incidents. The clinical prognosis depends on many factors, most importantly the initial grade of injury.
Case Report:
We present a 26-year-old male who presents to the emergency department after a motor vehicle accident. He sustained significant injuries with an initial Glasgow Coma Scale of 3 and signs of complete SCI. A computed tomography scan demonstrated cervicomedullary transection caused by C6-C7 facet distraction with C6 retrolisthesis on C7. The patient recovered the ability to track with eyes, utilize facial expression, and unilateral trapezius function to command. Neurological recovery was not made despite aggressive treatment.
Conclusion:
Patients with complete SCI typically have poor outcomes despite aggressive treatment. We present a unique mechanism, treatment, and outcome of a cervicomedullary SCI through C6 retrolisthesis on C7. |
| format | Article |
| id | doaj-art-bb7cb69bda5e430da8867aeba84ad884 |
| institution | OA Journals |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-bb7cb69bda5e430da8867aeba84ad8842025-08-20T02:10:12ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-02-01152868910.13107/jocr.2025.v15.i02.5238Cervicomedullary Spinal Cord InjuryNoah KingAndrew WaackEthan KoscoAastha BhavsarJason SchroederAlastair HoytIntroduction: Spinal cord injury (SCI) is most common following trauma, typically involving motor vehicle incidents. The clinical prognosis depends on many factors, most importantly the initial grade of injury. Case Report: We present a 26-year-old male who presents to the emergency department after a motor vehicle accident. He sustained significant injuries with an initial Glasgow Coma Scale of 3 and signs of complete SCI. A computed tomography scan demonstrated cervicomedullary transection caused by C6-C7 facet distraction with C6 retrolisthesis on C7. The patient recovered the ability to track with eyes, utilize facial expression, and unilateral trapezius function to command. Neurological recovery was not made despite aggressive treatment. Conclusion: Patients with complete SCI typically have poor outcomes despite aggressive treatment. We present a unique mechanism, treatment, and outcome of a cervicomedullary SCI through C6 retrolisthesis on C7.https://jocr.co.in/wp/2025/02/01/cervicomedullary-spinal-cord-injury/cervicomedullaryspinal cord injurytransectionretrolisthesistrauma |
| spellingShingle | Noah King Andrew Waack Ethan Kosco Aastha Bhavsar Jason Schroeder Alastair Hoyt Cervicomedullary Spinal Cord Injury Journal of Orthopaedic Case Reports cervicomedullary spinal cord injury transection retrolisthesis trauma |
| title | Cervicomedullary Spinal Cord Injury |
| title_full | Cervicomedullary Spinal Cord Injury |
| title_fullStr | Cervicomedullary Spinal Cord Injury |
| title_full_unstemmed | Cervicomedullary Spinal Cord Injury |
| title_short | Cervicomedullary Spinal Cord Injury |
| title_sort | cervicomedullary spinal cord injury |
| topic | cervicomedullary spinal cord injury transection retrolisthesis trauma |
| url | https://jocr.co.in/wp/2025/02/01/cervicomedullary-spinal-cord-injury/ |
| work_keys_str_mv | AT noahking cervicomedullaryspinalcordinjury AT andrewwaack cervicomedullaryspinalcordinjury AT ethankosco cervicomedullaryspinalcordinjury AT aasthabhavsar cervicomedullaryspinalcordinjury AT jasonschroeder cervicomedullaryspinalcordinjury AT alastairhoyt cervicomedullaryspinalcordinjury |