Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques
Introduction. Acute traumatic cervicothoracic junction spinal lesions are rare disorders and poorly documented. We report a case of a traumatic cervicothoracic fracture-dislocation. We present our experience in the operative treatment of an unstable fracture-dislocation at the cervicothoracic juncti...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/7578628 |
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| author | Mohammad A. Alsofyani Soufiane Ghailane Sultan Alsalmi Sreenath Jakinapally Louis Boissière Ibrahim Obeid Jean-Marc Vital |
| author_facet | Mohammad A. Alsofyani Soufiane Ghailane Sultan Alsalmi Sreenath Jakinapally Louis Boissière Ibrahim Obeid Jean-Marc Vital |
| author_sort | Mohammad A. Alsofyani |
| collection | DOAJ |
| description | Introduction. Acute traumatic cervicothoracic junction spinal lesions are rare disorders and poorly documented. We report a case of a traumatic cervicothoracic fracture-dislocation. We present our experience in the operative treatment of an unstable fracture-dislocation at the cervicothoracic junction. Materials and Method. A seventy-year-old man was transferred to our hospital. We found paresthesia in the corresponding dermatome of C7 and C8 bilaterally. Initial CT scan shows vertebral body fracture of T1 with retropulsion into the spinal canal and anteroposterior dislocation of cervicothoracic junction type C according to AOSpine subaxial injury. Traumatic disc material at C7-T1 was removed by anterior cervical discectomy and fusion of C6-T2. Fixation was done from C6 to T2 in the prone position. Results. At one-year postoperative follow-up, radiographs revealed bony fusion at the level of C7-T1, and the patient had no major functional disability. Conclusion. We opted for the ventral-dorsal approach in our case for maximum stabilization and to prevent mechanical complications. |
| format | Article |
| id | doaj-art-dd6ec7a06d184bc1bf669e9920a4ca00 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-dd6ec7a06d184bc1bf669e9920a4ca002025-02-03T06:46:53ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/75786287578628Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation TechniquesMohammad A. Alsofyani0Soufiane Ghailane1Sultan Alsalmi2Sreenath Jakinapally3Louis Boissière4Ibrahim Obeid5Jean-Marc Vital6Department of Spinal Surgery Unit, Bordeaux University, Bordeaux University Hospital, C.H.U Tripode Pellegrin, Place Amélie Raba Léon, 33076 Bordeaux, FranceDepartment of Spinal Surgery Unit, Bordeaux University, Bordeaux University Hospital, C.H.U Tripode Pellegrin, Place Amélie Raba Léon, 33076 Bordeaux, FranceDepartment of Neurosurgery, Amiens University Medical Center, Amiens University, Amiens, FranceDepartment of Spinal Surgery Unit, Bordeaux University, Bordeaux University Hospital, C.H.U Tripode Pellegrin, Place Amélie Raba Léon, 33076 Bordeaux, FranceDepartment of Spinal Surgery Unit, Bordeaux University, Bordeaux University Hospital, C.H.U Tripode Pellegrin, Place Amélie Raba Léon, 33076 Bordeaux, FranceDepartment of Spinal Surgery Unit, Bordeaux University, Bordeaux University Hospital, C.H.U Tripode Pellegrin, Place Amélie Raba Léon, 33076 Bordeaux, FranceDepartment of Spinal Surgery Unit, Bordeaux University, Bordeaux University Hospital, C.H.U Tripode Pellegrin, Place Amélie Raba Léon, 33076 Bordeaux, FranceIntroduction. Acute traumatic cervicothoracic junction spinal lesions are rare disorders and poorly documented. We report a case of a traumatic cervicothoracic fracture-dislocation. We present our experience in the operative treatment of an unstable fracture-dislocation at the cervicothoracic junction. Materials and Method. A seventy-year-old man was transferred to our hospital. We found paresthesia in the corresponding dermatome of C7 and C8 bilaterally. Initial CT scan shows vertebral body fracture of T1 with retropulsion into the spinal canal and anteroposterior dislocation of cervicothoracic junction type C according to AOSpine subaxial injury. Traumatic disc material at C7-T1 was removed by anterior cervical discectomy and fusion of C6-T2. Fixation was done from C6 to T2 in the prone position. Results. At one-year postoperative follow-up, radiographs revealed bony fusion at the level of C7-T1, and the patient had no major functional disability. Conclusion. We opted for the ventral-dorsal approach in our case for maximum stabilization and to prevent mechanical complications.http://dx.doi.org/10.1155/2020/7578628 |
| spellingShingle | Mohammad A. Alsofyani Soufiane Ghailane Sultan Alsalmi Sreenath Jakinapally Louis Boissière Ibrahim Obeid Jean-Marc Vital Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques Case Reports in Orthopedics |
| title | Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques |
| title_full | Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques |
| title_fullStr | Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques |
| title_full_unstemmed | Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques |
| title_short | Traumatic Fracture: Dislocation of Cervicothoracic Junction—Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques |
| title_sort | traumatic fracture dislocation of cervicothoracic junction grand round presentation of c7 t1 instabilities and different instrumentation techniques |
| url | http://dx.doi.org/10.1155/2020/7578628 |
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