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Lower Cervical Spine Fractures and Dislocations |
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Copyright © 2008 Spine Care Hong Kong |
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14 year old male gymnast (Hong Kong Junior Team) Fall during practice on Mid June 2006 Landed on left side of head neck and shoulder Main complaint neck pain and left hand numbness over left radial 3 digits Hospitalized in China |
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DIAGNOSIS: Left C6/7 unilateral facet fracture dislocation C6/7 disc prolapse with inferior endplate fracture of C6 vertebra Left C7 radiculopathy from compressed nerve root in neural foramen Cervical central canal stenosis but cervical spinal cord not compressed
OPTIONS: Reduction Need for decompression? Fixation
PROCEDURE: Combined Posterior Anterior Approach Posterior reduction decompression left C6/7 facet fracture dislocation Left Oblique facet wiring Interspinous process wiring ACDF C6/7 |
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CEPHALIC |
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CAUDAL |
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LEFT |
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RIGHT |
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PROGRESS: Solid fusion @ 6 months Back to competitive gymnastic training in Jan 2007 No numbness or weakness detected |
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Example 2 |
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UNILATERAL FACET FRACTURE DISLOCATION |
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SPINE CARE HONG KONG |
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ACCURATE DIAGNOSIS, STRUCTURED TREATMENT |
