RATIONALE Malposition of cervical pedicle screw (CPS) has a risk of vertebral artery (VA) injury which sometimes may cause unexpected and catastrophic outcome. A rare case of delayed onset of cerebral infarction caused by malposition of CPS was reported. PATIENT CONCERNS A 23-year-old man who underwent a posterior cervical reduction and fusion of C4-5 using CPS fixation and allograft for cerv...

STUDY DESIGN Multicenter retrospective case series and review of the literature. OBJECTIVE To determine the rate of esophageal perforations following anterior cervical spine surgery. METHODS As part of an AOSpine series on rare complications, a retrospective cohort study was conducted among 21 high-volume surgical centers to identify esophageal perforations following anterior cervical spine...

A 59-year-old man with a history of chronic ankylosing spondylitis for many years, developed neck pain and left cervico-brachial neuralgia following a road traffic accident sustained one week before. Plain radiographs of cervical spine were initially misinterpreted. On examination, he had severe neck pain on mobilization without any neurological deficits. Delayed cervical computed tomography sc...

MR imaging of the cervical spine is valuable for assessing traumatic injuries to the spinal cord and bony ligamentous structures. MR is also useful for detecting such long-term complications of spinal cord injury as syrinx, arachnoid cyst, cord adhesion, and persistent mechanical impingement on the spinal cord or spinal nerve roots. Treatment of cervical spine injuries that are mechanically uns...

Fractures of the odontoid process comprise 10–15% of all cervical fractures. Almost two thirds of all dens fractures are classified as type II according to Anderson and D’Alonso classification system. Currently, the direct anterior odontoid screw fixation provides the best anatomical and functional results for this type of fracture and it is considered as the treatment of choice. Regarding the ...

INTRODUCTION We describe a patient who had cervical spine osteomyelitis caused by Blastomyces dermatitidis that resulted in cord compression and cervical spine instability. CASE PRESENTATION A 25-year-old Hispanic woman presented with fever, sweats, neck pain, and an enlarging neck mass with purulent discharge after sustaining a C6 vertebral body fracture. Magnetic resonance imaging confirmed...

Treatment of cervical fracture and dislocation by improving the anterior cervical technique.Anterior cervical approach has been extensively used in treating cervical spine fractures and dislocations. However, when this approach is used in the treatment of locked facet joints, an unsatisfactory intraoperative reduction and prying reduction increases the risk of secondary spinal cord injury. Thus...

cervical injury, blunt and penetrating trauma, hardly lead to morbidity and mortality in children population but it is clinically important. although blunt trauma is less prevalence in children than penetrating trauma, it is life threatening due to laryngotracheal rupture. bicycle accidents are common reason of blunt trauma. blunt laryngotracheal injury is rare in children because mandibular bo...

STUDY DESIGN Retrospective study and literature review. OBJECTIVE To provide more comprehensive data about carotid artery injury (CAI) or cerebrovascular accident (CVA) related to anterior cervical spine surgery. METHODS We conducted a retrospective, multicenter, case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network. Medical rec...