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KMID : 1001920140550050289
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Journal of Korean Neurosurgical Society
2014 Volume.55 No. 5 p.289 ~ p.292
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Management of Traumatic C6-7 Spondyloptosis with Cord Compression
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Choi Man-Kyu
Jo Dae-Jean
Kim Min-Ki
Kim Tae-Sung
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Abstract
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A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5’s rods to the C7-T1’s extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.
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KEYWORD
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Spondyloptosis, Anterior stabilization, Posterior stablilization
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