Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2018  |  Volume : 9  |  Issue : 4  |  Page : 274--276

Autostabilization of neglected high-grade fracture–dislocation in the cervical spine


Kunal Shah1, Akshay Gadiya2, Abhay Nene2 
1 “We Are Spine” Centre, Aarav Polyclinic, Mumbai, Maharashtra, India
2 Lilavati Hospital and Research Center, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Akshay Gadiya
Lilavati Hospital and Research Center, Bandra Reclamation, Bandra West, Mumbai - 400 050, Maharashtra
India

Neglected cervical spine trauma is rare with very few case series reported in literature. There are no clear guidelines for its treatment. If operative treatment is sought, the role of skull traction, type of approach (anterior only, posterior only, or combined), sequence of surgery, type of instrumentation, etc., have to be considered. Hence, the treatment is challenging. Autostabilization has been described in the natural history of degenerative lumbar spondylolisthesis. As a result, many patients are treated nonoperatively, obviating need of surgery. We report two cases of neglected/untreated fracture–dislocation at subaxial cervical spine. They presented with exertional neck pain. Computed tomography scan showed bony fusion at involved level. The patient was treated nonsurgically with favorable outcome at long-term follow-up. Our cases depict autostabilization in a case of neglected traumatic cervical spine injury, which is never been reported. Such patients do well with nonsurgical treatment, thus obviating need for extensive deformity correction.


How to cite this article:
Shah K, Gadiya A, Nene A. Autostabilization of neglected high-grade fracture–dislocation in the cervical spine.J Craniovert Jun Spine 2018;9:274-276


How to cite this URL:
Shah K, Gadiya A, Nene A. Autostabilization of neglected high-grade fracture–dislocation in the cervical spine. J Craniovert Jun Spine [serial online] 2018 [cited 2019 Aug 17 ];9:274-276
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;volume=9;issue=4;spage=274;epage=276;aulast=Shah;type=0