Subacute Posttraumatic Ascending Myelopathy After Excessive Closed Reduction of Bilateral Cervical Facet Dislocation

We report a case of subacute posttraumatic ascending myelopathy after bilateral cervical facet dislocation. The 57-year-old man had quadriparesis after sustaining a neck injury from a fall. Excessive closed reduction and manipulation of the cervical facet dislocation resulted in worsening motor power of his extremities. Urgent operation and decompression by an anterior approach offered slight improvement of the quadriparesis. However, 3 days after the surgery, myelopathic manifestations including respiratory difficulty became progressive. Magnetic resonance imaging revealed that myelopathy had ascended into the brain stem. He died from pneumonia because of long-term ventilator support for 2 months after the trauma. Excessive reduction may give rise to serious complications, especially subacute posttraumatic ascending myelopathy, in traumatic spinal cord injury.
Source: Neurosurgery Quarterly - Category: Neurosurgery Tags: Case Reports Source Type: research