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Cirugía de Columna

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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.
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2023, Number 2

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Cir Columna 2023; 1 (2)

Chronic luxation of subaxial cervical spine. Treatment options. Case report and literature review

Jiménez ÁJM, Martínez HVI, Sandoval PF, Muleiro EP, Salcido RMV
Full text How to cite this article 10.35366/111637

DOI

DOI: 10.35366/111637
URL: https://dx.doi.org/10.35366/111637

Language: Spanish
References: 7
Page: 122-127
PDF size: 347.01 Kb.


Key words:

fracture, spine, subaxial, cervical, treatment.

ABSTRACT

Subaxial cervical spine luxation is a frequent entity in polytraumatized patients, regularly accompanied by neurological injuries such as paraplegia or quadriplegia, requiring urgent surgical treatment in order to stabilize, align and decompress the nerve structures, sometimes it is not possible to perform this type of procedure early due to the general conditions of the patient or the conditions of the hospital units, leading to a late treatment, however, undiagnosed luxation occur, or in the worst case scenario, an inadequately treated injury with poor results that lead to an unsatisfactory evolution of the patient, with chronic pain and neurological deficit. We analyze the case of a patient with subaxial cervical spine luxation, with torpid evolution, requiring a new intervention two years after her injury, performed in three specific sequential times, achieving the patient's recovery and motor functionality.


REFERENCES

  1. Sengupta DK. Neglected spinal injuries. Clin Orthop Relat Res. 2005; (431): 93-103. doi: 10.1097/01.blo.0000151878.67386.a1.

  2. Gerrelts BD, Petersen EU, Mabry J, Petersen SR. Delayed diagnosis of cervical spine injuries. J Trauma. 1991; 31: 1622-1626. doi: 10.1097/00005373-199112000-00010.

  3. Elsissy J, Kutzner A, Danisa O. Delayed diagnosis and management of traumatic cervical spine subluxation. J Orthop Case Rep. 2019; 9: 84-87. doi: 10.13107/jocr.2019.v09.i04.1492.

  4. Chhabra HS, Arora M. Neglected traumatic spinal cord injuries: causes, consequences and outcomes in an Indian setting. Spinal Cord. 2013; 51: 238-244. doi: 10.1038/sc.2012.141.

  5. Agrawal A, Kumar SS, Ghotra HS, Singh SP. Neglected fracture-dislocation of the cervical spine without neurological deficits. Asian Spine J. 2013; 7: 156-157. doi: 10.4184/asj.2013.7.2.156.

  6. Gallego-Goyanes A, Caeiro-Rey JR, Díez-Ulloay MA, Pino-Mínguez J. Luxación subaxial cervical inveterada. Discusión de cuál es la mejor estrategia terapéutica. Rev Esp Cir Ortop Traumatol. 2013; 57: 446-449.

  7. Reid DC, Henderson R, Saboe L, Miller JD. Etiology and clinical course of missed spine fractures. J Trauma. 1987; 27: 980-986.




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Cir Columna. 2023;1