Successful Surgical Treatment of Acute Trauma of Cervical Spine Complicated by Gross Neurologic Disorders

V.N. Bikmullin, Yu.A. Shulev, A.S. Smekalov

(Municipal Multi-Field Hospital N 2, Neurosurgical Department N 1, Saint Petersburg)

Male patient S. was admitted to the department on the second day after a road accident. The examination showed gross segmental and conductive disorders, manifesting themselves in superior paraplegia and severe paraparesis of lower extremities. Neurological disorders were caused by unstable dislocation fracture of C5 vertebra with the spinal cord compression at this level. Before admission the patient had experienced episodes of complete absence of movements in the lower extremities, watched during changing his position.

The patient was operated two hours later after his admission. Interbody corporodesis of C4-5 with use of a carbon cage and internal fixation with a titanium plate allowed to restore an orthopedic axis of an injured segment and to perform neural decompression.

In a week the patient began to walk without outside assistance. A volume of movements in distal segments increased.

The demonstration goal was to show possibility of achieving a good functional result in timely use of modern surgical technologies for treatment of acute trauma of the spine and spinal cord, complicated by gross neurological disorders.