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Eur Spine J. 2016 May;25 Suppl 1:49-52. doi: 10.1007/s00586-015-4067-y. Epub 2015 Jun 14.

Complete fracture of the lamina of the sixth cervical vertebra with hemiplegia: a case report.

Author information

1
Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France. anouar.bourghli@gmail.com.
2
Orthopedic Spinal Surgery Unit, Bordeaux Pellegrin Hospital, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.

Abstract

INTRODUCTION:

We report the rare case of a 27-year-old man who presented a right sided complete hemiplegia after a neck trauma due to a road traffic accident.

MATERIALS AND METHODS:

Computed tomography revealed a complete fracture of the C6 lamina including a partial fracture of the right articular process with complete rotation of the fragment into the spinal canal with a major compression of the right side of the cord. The patient was operated urgently and underwent posterior approach for C6 arch removal followed by a C6C7 anterior fusion as T2 weighted magnetic resonance imaging revealed a completely torn C6C7 disc with a hematoma under the posterior longitudinal ligament associated with an increased cord signal. Patient could walk normally 6 weeks after the accident. At 2 years follow-up, he recovered full sensation of his right body but had a residual intrinsic muscle weakness in his right hand.

CONCLUSION:

This is the first paper, in the literature, to describe a complete laminar fracture at the cervical spine level with hemiplegia. Early surgical intervention probably provides the better neurological outcome.

KEYWORDS:

Cervical trauma; Complete laminar fracture; Hemiplegia

PMID:
26071947
DOI:
10.1007/s00586-015-4067-y
[Indexed for MEDLINE]

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