Charbel D Moussallem
Mediclinic Al Noor Hospital, UAE
Posters & Accepted Abstracts: Health Care Curr Rev
We present a case of 22 years old female patinet that came withj severe neck pain and cervical spine deformity for more than seven months. She had a locked neck syndrome with her head facing her shoulder at all times and she was not able to rotate or flex and extend her cervical spine. X-ray and CT scan of the cervical spine as well as MRI showed a chronically missed dislocation of first cervical 30 Brotton’s two seconds her cervical 50 but which is a rotatory dislocation misdiagnosed by several other physicians. This is a very rare and unique pathology and very dangerous that can lead to death or spinal cord injury. We operated on this patient by posterior cervical approach with open reduction of the rotatory dislocation and by fixation with C1/C2 procedure screw rod construct with fixation of the skull over the cervical spine. This is a very unique situation having very challenging surgical anatomy that was successfully treated.