Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture

Introduction: Cervical spine fractures, particularly those at C4 and C5, are among the most serious forms of spinal injuries due to the involvement of the cervical spinal cord, which regulates motor and sensory pathways throughout the body. Case Report: This report presents an 18-year-old male who s...

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Main Authors: Prashanth Nandagopal, Vinoth Arockiasekar, Keerthana Shivaji, Sithardhan Rajendran, Naveenkumar Murugan
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-07-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/07/01/case-report-surgical-management-and-neurological-recovery-in-an-18-year-old-male-with-c4-c5-cervical-spine-fracture/
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author Prashanth Nandagopal
Vinoth Arockiasekar
Keerthana Shivaji
Sithardhan Rajendran
Naveenkumar Murugan
author_facet Prashanth Nandagopal
Vinoth Arockiasekar
Keerthana Shivaji
Sithardhan Rajendran
Naveenkumar Murugan
author_sort Prashanth Nandagopal
collection DOAJ
description Introduction: Cervical spine fractures, particularly those at C4 and C5, are among the most serious forms of spinal injuries due to the involvement of the cervical spinal cord, which regulates motor and sensory pathways throughout the body. Case Report: This report presents an 18-year-old male who sustained fractures at the C4 and C5 levels after a traumatic fall, resulting in complete motor loss (0/5) and partial sensation (1/2) in both upper and lower limbs. Following posterior decompression and stabilization from C3 to C5, his neurological function improved: upper limb strength increased to 3/5, lower limb strength to 1/5, and sensory function was fully restored in both limbs (2/2). Conclusion: This case highlights the potential for recovery after timely surgical intervention in severe cervical spine injuries.
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publishDate 2025-07-01
publisher Indian Orthopaedic Research Group
record_format Article
series Journal of Orthopaedic Case Reports
spelling doaj-art-ca4578e82a2e40dcb78157f3f30946472025-08-20T03:04:49ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-07-01157384210.13107/jocr.2025.v15.i07.5760Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine FracturePrashanth NandagopalVinoth ArockiasekarKeerthana ShivajiSithardhan RajendranNaveenkumar MuruganIntroduction: Cervical spine fractures, particularly those at C4 and C5, are among the most serious forms of spinal injuries due to the involvement of the cervical spinal cord, which regulates motor and sensory pathways throughout the body. Case Report: This report presents an 18-year-old male who sustained fractures at the C4 and C5 levels after a traumatic fall, resulting in complete motor loss (0/5) and partial sensation (1/2) in both upper and lower limbs. Following posterior decompression and stabilization from C3 to C5, his neurological function improved: upper limb strength increased to 3/5, lower limb strength to 1/5, and sensory function was fully restored in both limbs (2/2). Conclusion: This case highlights the potential for recovery after timely surgical intervention in severe cervical spine injuries.https://jocr.co.in/wp/2025/07/01/case-report-surgical-management-and-neurological-recovery-in-an-18-year-old-male-with-c4-c5-cervical-spine-fracture/c4-c5 fracturedecompressionspinal stabilizationneurological recoverycervical spine trauma
spellingShingle Prashanth Nandagopal
Vinoth Arockiasekar
Keerthana Shivaji
Sithardhan Rajendran
Naveenkumar Murugan
Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture
Journal of Orthopaedic Case Reports
c4-c5 fracture
decompression
spinal stabilization
neurological recovery
cervical spine trauma
title Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture
title_full Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture
title_fullStr Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture
title_full_unstemmed Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture
title_short Case Report - Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture
title_sort case report surgical management and neurological recovery in an 18 year old male with c4 c5 cervical spine fracture
topic c4-c5 fracture
decompression
spinal stabilization
neurological recovery
cervical spine trauma
url https://jocr.co.in/wp/2025/07/01/case-report-surgical-management-and-neurological-recovery-in-an-18-year-old-male-with-c4-c5-cervical-spine-fracture/
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AT keerthanashivaji casereportsurgicalmanagementandneurologicalrecoveryinan18yearoldmalewithc4c5cervicalspinefracture
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