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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 703-705
DOI: 10.4103/ajns.AJNS_125_20
Case Report

Cervical spinal fracture in a patient with diffuse idiopathic skeletal hyperostosis having a history of cervical laminoplasty

Takeshi Sasagawa
Department of Orthopedics Surgery, Toyama Prefectural Central Hospital, Toyama
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An 87-year-old male having a history of C3–7 open-door cervical laminoplasty 20 years ago fell and sustained neck pain and paralysis with complete motor and sensory deficits below C6 (Frankel A). Computed tomography (CT) revealed ankylosis from C2 to C7 due to diffuse idiopathic skeletal hyperostosis (DISH) and a C5/6 fracture with C5 posterior displacement. We performed surgery the day after injury using a posterior approach for stabilization of the spinal column from C3 to T1. Translaminar screws (LS) were placed to the right (hinge side) of C3–7, lateral mass screws (LMS) to the left (open side) of C3–6, and pedicle screws to the left of C7 and bilaterally in T1. Bony fusion was achieved as seen on CT images 6 months after surgery. We conclude that long posterior stabilization using LMS and LS is an effective treatment for cervical fracture in patients with DISH having a history of cervical laminoplasty.

Key-words:

Cervical fracture - cervical laminoplasty - diffuse idiopathic skeletal hyperostosis - posterior stabilization - screw insertion

Financial support and sponsorship

Nil.




Publication History

Received: 31 March 2020

Accepted: 25 April 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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