History

A 22-year-old male was evaluated in the Emergency Department after a motor vehicle collision. He was found to have bilateral C6 comminuted lamina fractures extending to the right C6-C7 facets with grade 1 anterolisthesis of the C6 vertebral body, and perched right C6-C7 facet.

The patient reported severe mechanical neck pain, and was maintained in a hard cervical collar. He denied motor or sensory symptoms, including in his upper extremities.

Examination

  • Significant neck pain

  • Intact to light touch in all dermatomes

  • 5/5 strength in all muscle groups

  • 2+ reflexes throughout

  • No upper motor neuron signs

Pretreatment Imaging

The CT scans below (Fig. 1A, 1B) demonstrate the sagittal cervical midline.

Sagittal cervical CT scans demonstrate the midline
Figure 1A (left); Figure 1B (right). Image courtesy of Benjamin Z Ball, MD, and SpineUniverse.com.

The sagittal right paracentral position is shown in Figure 2A (below) with an axial CT scan delineating the right C6-C7 facet fracture and perched facet (Fig. 2B).

sagittal cervical CT scan shows the right paracentral position and axial view of the right C6-C7 facet fracture, perched facet
Figure 2A (left); Figure 2B (right). Image courtesy of Benjamin Z Ball, MD, and SpineUniverse.com.

Diagnosis

Bilateral C6 comminuted lamina fractures, grade 1 anterolisthesis of the C6 vertebral body, and perched right C6-C7 facet.

Selected Treatment

Anterior cervical discectomy and fusion at C6-C7 with intraoperative manual reduction of the right C6-C7 perched facet.

Postoperative Imaging

CT scans demonstrate the sagittal cervical midline (Fig. 3A) and right paracentral position (Fig. 3B).

postoperative sagittal cervical CT scans of midline and right paracentral position
Figure 3A (left); Figure 3B (right). Image courtesy of Benjamin Z Ball, MD, and SpineUniverse.com.

Figure 3C (below) is an axial CT scan delineating the reduced right C6-C7 facet joint with a C6-C7 anterior plate.

postoperative axial CT scan shows reduced right C6-C7 facet joint with anterior plate
Figure 3C. Image courtesy of Benjamin Z Ball, MD, and SpineUniverse.com.

Outcome

Immediately following surgery, the patient reported resolution of his mechanical neck pain. His neurological status remained intact. He was discharged from the hospital on postoperative day one in a hard cervical collar with appropriate clinic follow-up.

Peer Discussion

This is an excellent case example of a flexion rotational injury with unilateral facet fracture dislocation. The patient was neurologically intact (another advantage) allowing some options in treatment.

Traction would likely have gained little as the fusion was warranted. Also the bilateral laminar fractures (often the consequence of the extension force) may have left the canal slightly expanded, and protected the patient from neurologic injury.

Finally, I think the use of a hard collar was intelligent postop as these patients can lose reduction, especially with an injury to the posterior ligamentous complex.

This article was originally published February 9, 2017 and most recently updated April 30, 2019.
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