Bilateral C6/7 locked facet dislocation

Case contributed by Dr Noyan Zenger

Presentation

History of fall one day ago and bilateral complete paraplegia. X-ray done initially but plain X-rays were not sufficient for a proper diagnosis and then CT scan performed.

Patient Data

Age: 60
Gender: Male
Modality: CT

C6/7 antelistesis and bilateral locked facet dislocation.

Modality: MRI

Bilateral C6/7 anterolistesis, facet dislocation and cord compression.

Case Discussion

X-ray done initially but plain X-rays were not sufficient for a proper diagnosis and then CT scan performed.

Sagittal MPR of CT scan shows bilateral C6/7 antelistesis and facet dislocation.

Sag. T2W images show high signal intensity in the spinal cord on T2-weighted imaging.

Closed reduction was attempted but this failed. We therefore selected open reduction.

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Case Information

rID: 28506
Case created: 27th Mar 2014
Last edited: 17th Dec 2015
System: Spine
Inclusion in quiz mode: Included

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