Traumatic high-grade cervical spine dislocation
Patient involved in a high speed MVA.
CT Cervical spine
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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.
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.