The Danger of Failure to Recognize Injury in Cervical Spine X-ray for Trauma

Authors

  • Biodun Ogungbo Olatunde Department of Neurosurgery, Spine Fixed in Abuja, Abuja, Nigeria Author
  • Mary Idowu Olawoye Department of Neurosurgery, Spine Fixed in Abuja, Abuja, Nigeria Author
  • Caleb Sabo Bishop Department of Neurosurgery, Spine Fixed in Abuja, Abuja, Nigeria Author

DOI:

https://doi.org/10.60787/njgp.v14i2.137

Keywords:

surgery, spine, spondylosis, spine trauma, neck pain, disc prolapse, Cervical

Abstract

We present a female with an acute traumatic fracture dislocation of the cervical spine. She sustained bilateral facetal dislocation at the C7/T1 junction without neurological deficit. This was not diagnosed on initial X‑rays of the cervical spine. We highlight the danger of this failure and conducting dynamic X‑rays in such a situation. The patient presented after 4 months and was operated upon safely with anterior/posterior fixation across the fracture site. She remains neurologically intact.

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References

Ivancic PC, Pearson AM, Tominaga Y, Simpson AK, Yue JJ, Panjabi MM. Mechanism of cervical spinal cord injury during bilateral

facet dislocation. Spine (Phila Pa 1976) 2007;32:2467‑73.

Kim SW, Ciccarelli JM, Fedder IL. Bilateral cervical facet dislocation without neurological injury. Orthopedics 2004;27:1297‑8.

Chakravarthy V, Mullin JP, Abbott EE, Anderson J, Benzel EC. Neurologically intact patient following bilateral facet dislocation: Case report and review of literature. Ochsner J 2014;14:108‑11.

Shapiro S, Abel T, Rodgers RB. Traumatic thoracic spinal fracture dislocation with minimal or no cord injury. Report of four cases and review of the literature. J Neurosurg 2002;96 3 Suppl: 333‑7.

Platzer P, Jaindl M, Thalhammer G, Dittrich S, Wieland T, Vecsei V, et al. Clearing the cervical spine in critically injured patients: A comprehensive C‑spine protocol to avoid unnecessary delays in diagnosis. Eur Spine J 2006;15:1801‑10.

Mirvis SE, Shanmuganathan K. Trauma radiology: Part V. Imaging of acute cervical spine trauma. J Intensive Care Med 1995;10:15‑33.

Gale SC, Gracias VH, Reilly PM, Schwab CW. The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. J Trauma

;59:1121‑5.

Song KJ, Lee KB. Posterior reduction/fusion followed by anterior decompression/fusion of unreduced bilateral facet fracture‑dislocation

in the lower cervical trauma. Neurosurg Q 2008;18:109‑14.

Baker RP, Grubb RL Jr. Complete fracture‑dislocation of cervical spine without permanent neurological sequelae. Case report. J Neurosurg

;58:760‑2.

Menku A, Kurtsoy A, Tucer B, Oktem IS, Akdemir H. The surgical management of traumatic C6‑C7 spondyloptosis in a patient without neurological deficits. Minim Invasive Neurosurg 2004;47:242‑4.

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Published

2016-12-01

Issue

Section

Case Report

How to Cite

1.
Olatunde BO, Olawoye MI, Bishop CS. The Danger of Failure to Recognize Injury in Cervical Spine X-ray for Trauma. NJGP [Internet]. 2016 Dec. 1 [cited 2025 Apr. 26];14(2):38-41. Available from: https://njgp.net.ng/index.php/home/article/view/137

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