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Journal of Neurosurgical Sciences 1999 March;43(1):59-62

language: English

Conservative man­age­ment of C5-C6 frac­ture-lux­a­tion in ­the eld­er­ly. Case ­report

Rinaldi A. 1, Santucci N. 1, Callovini G. 1, Schiavone M. 2, Gazzeri G.

1 Department of Neurosurgery, “S. Filippo Neri” Hospital, Rome, Italy;
2 Department of Neurology, “S. Filippo Neri” Hospital, Rome, Italy


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The ­case of a 86-­year-­old ­female vic­tim of cer­vi­cal trau­ma ­with C5-C6 frac­ture-lux­a­tion ­and bilat­er­al ­locked fac­ets is here­in­after ­described. The ­case ­was reput­ed rep­re­sen­ta­tive of ­the com­plex­ity in decid­ing ­between con­ser­va­tive ­and sur­gi­cal treat­ment in ­spine sur­gery. Conservative man­age­ment ­would ­have ­been dic­tat­ed by ­the addi­tion­al ­risks ­linked to ­the ­age of ­the ­patient, where­as ­the sur­gi­cal treat­ment ­would ­have ­been ­favored by ­the ­easy ­access to ­the anterior cer­vi­cal ­spine ­for reduc­tion ­and fix­a­tion. On ­the ­way to ­plan ­the defin­i­tive treat­ment, ­the ­patient ­died by pul­mo­nary embo­lism. The con­tro­ver­sial ­aspects ­and ­the indi­ca­tion to anti­co­ag­u­lant ther­a­py in spi­nal sur­gery, fre­quent­ly ­faced in ­the treat­ment of ­spine trau­ma in ­patients of ­this ­age ­group, ­are dis­cussed in ­this ­case ­report.

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