Complete fracture of the lamina of the sixth cervical vertebra with hemiplegia: a case report

Eur Spine J. 2016 May;25 Suppl 1:49-52. doi: 10.1007/s00586-015-4067-y. Epub 2015 Jun 14.

Abstract

Introduction: We report the rare case of a 27-year-old man who presented a right sided complete hemiplegia after a neck trauma due to a road traffic accident.

Materials and methods: Computed tomography revealed a complete fracture of the C6 lamina including a partial fracture of the right articular process with complete rotation of the fragment into the spinal canal with a major compression of the right side of the cord. The patient was operated urgently and underwent posterior approach for C6 arch removal followed by a C6C7 anterior fusion as T2 weighted magnetic resonance imaging revealed a completely torn C6C7 disc with a hematoma under the posterior longitudinal ligament associated with an increased cord signal. Patient could walk normally 6 weeks after the accident. At 2 years follow-up, he recovered full sensation of his right body but had a residual intrinsic muscle weakness in his right hand.

Conclusion: This is the first paper, in the literature, to describe a complete laminar fracture at the cervical spine level with hemiplegia. Early surgical intervention probably provides the better neurological outcome.

Keywords: Cervical trauma; Complete laminar fracture; Hemiplegia.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / injuries
  • Cervical Vertebrae / surgery*
  • Hematoma / diagnostic imaging
  • Hematoma / surgery
  • Hemiplegia / etiology*
  • Hemiplegia / surgery
  • Humans
  • Intervertebral Disc / diagnostic imaging
  • Intervertebral Disc / injuries
  • Intervertebral Disc / surgery
  • Magnetic Resonance Imaging
  • Male
  • Recovery of Function
  • Spinal Cord Compression / complications
  • Spinal Cord Compression / diagnostic imaging
  • Spinal Cord Compression / surgery
  • Spinal Fractures / complications
  • Spinal Fractures / diagnostic imaging
  • Spinal Fractures / surgery*
  • Spinal Fusion
  • Time-to-Treatment
  • Tomography, X-Ray Computed