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04-OCTOBER-2006 RAKAN MUSTAFA
FALAH 19 YEARS TRAUMATIC SUBLUXATION C4-5 WITH FRACTURE LEFT C4-5
The patient was exposed to RTA 2 days ago without LOC, after
what he complained of neck pain and both shoulder pain. The patient
was transferred from another hospital with MRI of the cervical spine
and cervical X-ray demonstrating locked facet C4-5 with fracture of
the left C4-5 facet.
Neurologically, the patient was intact and
considering the instability of the fracture, even after proposed
reduction, the patient was operated: discectomy of C4-5 was
performed and reduction of the dislocation was performed, after what
fixation with one level miniplate with 16 mm length screws of
Stryker brand was applied. Check images confirmed proper alignment
of the bony elements.
1. There were similar cases during the previous years, that
they were reluctant for surgery and most of them required surgery
later after 30-40 days of insult. Since the subluxation is
associated with fracture of the facet, fixation must be performed
after reduction to avoid repeat subluxation after reduction.