Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
European Spine Journal
Published in: European Spine Journal 8/2019

01-08-2019 | Grand Rounds

Low energy chronic traumatic spondylolisthesis of the axis

Authors: Conor J. Dunn, Samuel Mease, Kimona Issa, Kumar Sinha, Arash Emami

Published in: European Spine Journal | Issue 8/2019

Login to get access

Abstract

Objective

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.

Methods

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.

Results

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.

Conclusion

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.
Literature
1.
Effendi B, Roy D, Cornish B et al (1981) Fractures of the ring of the axis. A classification based on the analysis of 131 cases. J Bone Jt Surg Br 63-B:319–327CrossRef
2.
Greene KA, Dickman CA, Marciano FF et al (1997) Acute axis fractures. Analysis of management and outcome in 340 consecutive cases. Spine (Phila Pa 1976) 22:1843–1852CrossRef
3.
Levine AM, Edwards CC (1985) The management of traumatic spondylolisthesis of the axis. J Bone Jt Surg Am 67:217–226CrossRef
4.
Koller H, Kathrein A (2006) Letter to the Editor concerning: A systematic review of the management of hangman’s fractures by Xin-Feng Li et al. (2006). Eur Spine J 15:257–269 (Eur Spine J 15:1415–8; author reply 9–21) CrossRef
5.
Li XF, Dai LY, Lu H et al (2006) A systematic review of the management of hangman’s fractures. Eur Spine J 15:257–269CrossRefPubMed
6.
Chittiboina P, Wylen E, Ogden A et al (2009) Traumatic spondylolisthesis of the axis: a biomechanical comparison of clinically relevant anterior and posterior fusion techniques. J Neurosurg Spine 11:379–387CrossRefPubMed
7.
Hadley MN, Walters BC (2013) Introduction to the guidelines for the management of acute cervical spine and spinal cord injuries. Neurosurgery 72(Suppl 2):5–16CrossRefPubMed
8.
Duggal N, Chamberlain RH, Perez-Garza LE et al (2007) Hangman’s fracture: a biomechanical comparison of stabilization techniques. Spine (Phila Pa 1976) 32:182–187CrossRef
9.
Schleicher P, Scholz M, Pingel A et al (2015) Traumatic spondylolisthesis of the axis vertebra in adults. Glob Spine J 5:346–358CrossRef
10.
Hadley MN, Dickman CA, Browner CM et al (1989) Acute axis fractures: a review of 229 cases. J Neurosurg 71:642–647CrossRefPubMed
Metadata
Title
Low energy chronic traumatic spondylolisthesis of the axis
Authors
Conor J. Dunn
Samuel Mease
Kimona Issa
Kumar Sinha
Arash Emami
Publication date
01-08-2019
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 8/2019
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-017-5206-4

Other articles of this Issue 8/2019

European Spine Journal 8/2019 Go to the issue

Author's Reply

Reply to the Letter to the Editor of Jin Yang et al. concerning “Correlations between sedimentation sign, dural sac cross-sectional area, and clinical symptoms of degenerative lumbar spinal stenosis” by Sangbong Ko (Eur Spine J [2018] 27: 1623–1628)

Letter to the Editor

Letter to the Editor concerning “Is MIS-TLIF superior to open TLIF in obese patients?: A systematic review and meta-analysis” by Tan JH et al. (Eur Spine J; 2018: doi:10.1007/s00586-018-5630-0)

Announcements

Announcements

Letter to the Editor

Letter to the Editor concerning “Correlations between sedimentation sign, dural sac cross-sectional area, and clinical symptoms of degenerative lumbar spinal stenosis” by Sangbong Ko (Eur Spine J [2018] 27:1623–1628)

Grand Rounds

Floating lumbar spine: proposed mechanism with review of literature

Original Article

Effects of decompressive operation on cardiac autonomic regulation in patients with cervical spondylotic myelopathy: analysis of blood pressure, heart rate, and heart rate variability