Journal of Korean Neurosurgical Society

  • 제55권5호
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  • Pages.289-292
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Management of Traumatic C6-7 Spondyloptosis with Cord Compression

  • Choi, Man-Kyu (Department of Neurosurgery, Kyung Hee University Hospital) ;
  • Jo, Dae-Jean (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Min-Ki (Department of Neurosurgery, Kyung Hee University Hospital) ;
  • Kim, Tae-Sung (Department of Neurosurgery, Kyung Hee University Hospital)
  • 투고 : 2013.11.08
  • 심사 : 2014.05.15
  • 발행 : 2014.05.28
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초록

A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.

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참고문헌

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