Traumatic C6-C7 Fracture-Dislocation with Surgical Correction of Anterior Hardware Fusion Failure and Neglected Locked Facet: A Case Report and Literature Review.

IF 0.6 Q4 CLINICAL NEUROLOGY

Case Reports in Neurology Pub Date : 2026-02-23 eCollection Date: 2026-01-01 DOI:10.1159/000550932

Pedro Luiz Ribeiro Carvalho de Gouvea, Pedro Henrique da Costa Ferreira-Pinto, Domênica Baroni Coelho de Oliveira Ferreira, Camila de Oliveira Ribeiro, Armando Yoshimitsu Hamada, Leonardo Antunes Miguez, César Batista Gonçalves da Cruz, Eduardo Mendes Correa, George da Silva Divério Junior, Flávio Nigri

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引用次数: 0

Abstract

Background: The cervical spine represents the most common site of spinal trauma, typically associated with vertebrae dislocation with locked facets. Accurate assessment of the entire spine is essential to prevent diagnostic and therapeutic failures. Here, we present a case of a patient with C6-C7 dislocation who underwent two unsuccessful surgical procedures, highlighting the technical challenges associated with revision surgery and persistent facet locking.

Case description: A 26-year-old male arrived at an emergency hospital after a motorcycle accident with paraplegia, C6 roots strength grade 2, and C7, C8, and T1 paralysis. The cervical computed tomography scan revealed C6-C7 dislocation, left C7-T1 locked facet, and right C6-C7 facet subluxation. After two unsuccessful surgical procedures, a combined 540-degree posterior-anterior-posterior (P-A-P) approach was performed. After the combined P-A-P cervical spine approach, the patient remained paraplegic, with no further neurological deterioration during follow-up.

Conclusion: Early diagnosis and management of locked facets is crucial to avoid unstable constructions and subsequently hardware failure in patients with cervical spinal trauma.

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外伤性C6-C7骨折脱位伴手术矫正前路硬体融合失败及忽视锁定小关节：1例报告及文献复习。

背景：颈椎是脊柱创伤最常见的部位，通常伴有椎体脱位和关节面锁定。准确评估整个脊柱是必不可少的，以防止诊断和治疗失败。在这里，我们报告了一例C6-C7脱位患者，他经历了两次不成功的手术，强调了与翻修手术和持续小关节面锁定相关的技术挑战。病例描述：一名26岁男性在摩托车事故后被紧急送往医院，他患有截瘫，C6根力量等级为2，C7、C8和T1麻痹。颈椎计算机断层扫描显示C6-C7脱位，左侧C7-T1关节突锁定，右侧C6-C7关节突半脱位。在两次不成功的手术后，我们进行了540度前后前后（P-A-P）联合入路。经联合P-A-P颈椎入路后，患者仍处于截瘫状态，随访期间神经系统无进一步恶化。结论：早期诊断和处理锁定关节面是避免颈椎外伤患者结构不稳定和随后的硬体失效的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.