Author/Authors :
Eghbal, Keyvan Department of Neurosurgery - Shiraz University of Medical Sciences - Shiraz, Iran , Oveisee, Maziar Department of Orthopedic Surgery - Shiraz University of Medical Sciences - Shiraz, Iran , Safaee, Javad Department of Neurosurgery - Shiraz University of Medical Sciences - Shiraz, Iran , Zafarshamspour, Saber Department of Neurosurgery - Shiraz University of Medical Sciences - Shiraz, Iran , Saffarrian, Arash Department of Neurosurgery - Shiraz University of Medical Sciences - Shiraz, Iran , Rakhsha, Abbas Department of Neurosurgery - Shiraz University of Medical Sciences - Shiraz, Iran
Abstract :
Traumatic cervical translational injury is a notably rare and highly unstable subtype of type C sub-axial
cervical spine injury with high morbidity and mortality rates. Hereby, we report a 41-years-old man who was a
case of multiple trauma due to car rollover. He was completely conscious, complaining of cervical pain, with a
GCS score of 15/15. His neurological examination was unremarkable. The cervical CT scan revealed a vertical
translation at the C6-C7 level (roughly 11 mm) and bilateral facet joint diastases which are highly unstable
injuries. A two-stage combined anterior and posterior fixation operation was performed. First, an anterior
cervical discectomy and fusion with autologous graft and plate fixation, and then a posterior approach with
lateral mass screw fixation was performed. Disruption of the anterior longitudinal ligament, annulus fibrosis,
facet capsules, and severe strain of ligamentum flavum was noted intraoperatively. He had no early and late
complications within 2 years of follow-up.
