Seton Hall University School of Health and Medical School Sciences, 400 South Orange Ave, South Orange, NJ, 07079, USA.
Eur Spine J. 2019 Aug;28(8):1829-1832. doi: 10.1007/s00586-017-5206-4. Epub 2017 Jul 21.
The aim of this study is to present a unique case of a patient who presented to our Emergency Department with evidence of a chronic traumatic spondylolisthesis of the axis with severe displacement treated with anterior cervical discectomy and fusion (ACDF) of C2-C3 as well as and posterior cervical fusion (PCF) of C1-C3.
One patient with an untreated traumatic spondylolisthesis of the axis with Levine type II injury pattern and 1.2 cm of anterior subluxation underwent ACDF C2-C3 and PCF C1-C3.
The patient recovered well, radiographs demonstrated reduction of the anterior subluxation, and the patient reported a neck disability index (NDI) score of 20 at 6-month follow-up with full neurologic function intact. The patient was then lost to follow-up.
In this report, we present an alcoholic patient with a history of many falls who presented with a Levine type II traumatic spondylolisthesis of the axis with signs of chronicity seen on magnetic resonance imaging (MRI). We were able to partially reduce the anterior displacement with traction, but needed both anterior and posterior cervical approaches to achieve adequate reduction and stabilization of the injury.
本研究旨在介绍一例独特的病例，患者因慢性创伤性枢椎滑脱就诊于我院急诊科，轴性损伤呈 Levine Ⅱ型，伴严重移位，行 C2-C3 前路颈椎间盘切除融合术（ACDF）及 C1-C3 后路颈椎融合术（PCF）。
对 1 例未治疗的创伤性枢椎滑脱患者采用 Levine Ⅱ型损伤模式和 1.2cm 的前方半脱位，行 C2-C3 的 ACDF 和 C1-C3 的 PCF。
患者恢复良好，影像学显示前方半脱位得到复位，患者在 6 个月随访时报告颈部残疾指数（NDI）评分为 20，神经功能完全正常。随后，该患者失访。
本报告介绍了 1 例有多次跌倒史的酒精中毒患者，其磁共振成像（MRI）上可见慢性 Levine Ⅱ型创伤性枢椎滑脱。我们通过牵引部分纠正了前方移位，但需要前后入路才能实现充分复位和固定损伤。
