Publication: Burst Fracture of C5 with Traumatic Anterior Spondyloptosis of C6 and Posterior Spondylolisthesis of C4 Vertebra: A Case Report
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Burst fracture of C5 with traumatic anterior spondyloptosis of C6 and posterior spondylolisthesis of C4 vertebra is an exceedingly rare high energy injury. Treatment includes decompression, reduction, stabilization, and fusion via anterior or posterior or combined anterior-posterior approach with or without prior traction. We report this rare subaxial cervical spine injury associated with quadriplegia managed with combined anterior and posterior instrumented fusion. A multidisciplinary approach with preoperative assessment and planning is crucial in managing cervical spine injury. Immediate postoperative critical care support, rehabilitation, and dedicated nursing care are required for a favorable outcome in traumatic quadriplegia.
Description
Poojan Kumar Rokaya
Department of Orthopedics & Trauma Surgery, Karnali Academy of Health Sciences, Nepal
https://orcid.org/0000-0002-8777-2286
Nilam Kumar Khadka
Department of Neurosurgery, National Academy of Medical Sciences, Nepal
Praveen Kumar Giri
Department of Anaesthesia and Critical Care, Karnali Academy of Health Sciences, Nepal
Robin Khapung
Department of Anaesthesia and Critical Care, Karnali Academy of Health Sciences, Nepal
Nirajan Mahaseth
Department of Anaesthesia and Critical Care, Karnali Academy of Health Sciences, Nepal
Keywords
cervical vertebrae, injury, spondylolisthesis