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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2026, Number 1

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Cir Columna 2026; 4 (1)

On purpose: posterior subaxial fixation due a cervical dislocation without neurologic deficit

Rojas PA, Ramírez SJM, Barbales KC, Herrera R, Rodríguez AM, Rodas MFJ

Language: English
References: 17
Page: 41-45
PDF size: 1493.49 Kb.


ABSTRACT

Introduction:v subaxial cervical dislocation it’s a terrible injury, usually due high energy trauma. Management is still arguable, even more with an adequate neurological status. Appropriate radiological images are needed to assess the best reduction method (open versus close), and the optimal approach (anterior, posterior or 360o). Case presentation: male patient of 19 years old, history of motorcycle accident, assisted in Regional Peten Hospital, Guatemala. Neurological evaluation without abnormal signs, radiological evaluation (X-rays and tomography computed) with C5-C6 fracture-dislocation. Underwent cervical immobilization and transferred to our medical center. Upon admission, skeletal traction with a total weight of 12 kg, obtaining a partial reduction. An open posterior cervical instrumentation (C3-C7), with an optimal post-operative neurological status. Conclusions: the management of subaxial dislocations remains controversial, particularly in patients with a stable neurological status. Clinical assessment plays a crucial role in hospital settings without access to magnetic resonance imaging, as closed reduction can be an effective option when accompanied by continuous neurological monitoring. Additionally, the posterior approach supports healing of the posterior elements and facilitates future evaluation for potential hardware removal, considering the preservation of the intervertebral discs.


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