Traumatic high-grade cervical spine dislocation

Case contributed by Dr Bruno Di Muzio


Patient involved in a high speed MVA.

Patient Data

Age: 33
Gender: Male

CT Cervical spine

C4-5 dislocation including locked facets dislocation, the substantial anterolisthesis of C4 relative to C5 results in significant (>75%) canal narrowing. There is also a haematoma bulging the posterior longitudinal ligament at the C4 level and compressing the dural sac anteriorly. 

Case Discussion

This case illustrates a severe cervical spine lesion due to the anteroposterior dislocation of C4 and C5 in more than 75% promoting canal narrowing and cord lesion. 

High-dose of methylprednisolone was administered and the patient was transferred to a major trauma centre. 

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Case information

rID: 39796
Published: 21st Sep 2015
Last edited: 1st Jul 2017
System: Spine
Inclusion in quiz mode: Included

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