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06-JULY-2009  SHOORUQ NIDAL SHUKRY  17 YEARS BURST FRACTURE C7.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Anamnesis:

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The patient was transferred 15-July-2009 after suffering RTA 5 days ago with fracture of the left both bones of the upper limbs and burst fracture of C7.

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CT-scan performed showing the burst fracture of C7, so also the cervical X-ray.

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On examination: the in rigid collar and she was neurologically free.

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With slight extension Hallo traction was applied 10 kg and exposure of C6-7 and D1 was performed anteriorly. Discectomy C6-7 was performed to check the posterior elements of the upper edge of the C7 body The dura was seen and the posterior alignments were acceptable. Using a distractor C6 was distracted form D1 maximally. The traction was increase to 18 Kg. Check imageintensifier showed good reduction of the body of C7.  The cervical miniplate was kept with its default curve, to boost the reduction after fixation. Fusion of C6-7 and D1 was performed. Routine closure of the wound.

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Smooth postoperative recovery.

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The patient was discharged the next day.


Pre and postoperative views

Comments

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The patient has burst fracture of C7 with intact spinal cord function and relatively acceptable boundaries of the spinal cord canal, for what corporectomy was not necessary during surgery.

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During open reduction, the bony elements regained acceptable anatomy and fixation done with maximal traction applied to the neck.


Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved