Management of C4-C5 Fracture with Approach 360⁰ without the Spinal Instrumentation.
AJTES Vol 2, No 1,  January 2018.
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lower cervical spine
classification regarding ASIA

How to Cite

Spaho, E., & Lame, A. (2018). Management of C4-C5 Fracture with Approach 360⁰ without the Spinal Instrumentation. Albanian Journal of Trauma and Emergency Surgery, 2(1), 37-40.


Introduction: Usually, cervical pedicle screw fixation has been considered too risky for neurovascular structures. The purpose of this case report is to present a young male patient who suffered a C4-C5 fracture after a motor vehicle accident treated with a 360⁰surgical approach without spinal instrumen-tation.

Case report: A young male patient suffered a motor vehicle accident driving the vehicle without seat belt. Instantly after the accident he reports about severe neck pain, inability to move his left extremi-ties, difficulty moving his right extremities, burning pain. All patients had various degrees of cord injury, and they were classified according to the American Spinal Cord Injury Association (ASIA) Impairment Scale and Denis classification.

Results: We present this young patient, where the selected surgical approach without using spinal instrumentation resulted has favorable outcome.

Conclusion: Surgical options regarding to cervical spine fractures include stabilization and decompres-sion with and without spinal instrumentation. Carefully selected cases may be treated safely without instrumentation avoiding potential complications of spinal instrumentation such pseudoarthrosis, in-strumentation failure, infection, etc.
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Does rigid instrumentation increase the fusion rate in one-level anterior cervical discectomy and fusion? Samartzis D1, Shen FH, Lyon C, Phillips M, Goldberg EJ, An HS. Spine J. 2004 Nov-Dec; 4(6):636-43.

Anterior cervical discectomy and fusion with-out instrumentation for cervical spondylo-sis.Sarkar S1, Mazumder U, Chowdhury D, Dey SK, Hossain M, Nag UK, Riaz BK. My-mensingh Med J. 2012 Jul; 21(3):416-22.

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