Traumatic cervical chance fracture
Presentation
A 64-year old male presented three days after a road-traffic-accident with associated loss of consciousness. Neurological assessment indicated a complete absence of sensory and motor innervation in the upper and lower extremities, with absent anal sensation.
Diagnosis
Imaging showed fractures of the C5-C7 spinous processes, with a C6 chance fracture. Additionally, there was widening of the disc space and facet joints, ligamentous disruption, and mild canal stenosis.
Treatment
Surgically managed (ACDF) and recovered well in the postoperative period without complication.
Conclusion
In consideration with other reports in the literature, it would appear cervical chance fractures can be managed effectively with either ACDF or PCDF when surgical intervention is required.
History
Comments
The original article is available at www.imj.iePublished Citation
McDonnell JM. et al. Traumatic cervical chance fracture. Ir Med J. 2021;114(8):443Publication Date
September 2021Publisher
Irish Medical AssociationVersion
- Published Version (Version of Record)
