@article{JSS3734,
author = {Jacinto Mata-Gómez and Marta Ortega-Martínez and Julio Valencia-Anguita and Ignacio Gilete-Tejero and Manuel Royano-Sánchez},
title = {Treatment of chronic traumatic C7–T1 grade III spondylolisthesis with mild neurological deficit: case report},
journal = {Journal of Spine Surgery},
volume = {3},
number = {1},
year = {2017},
keywords = {},
abstract = {Traumatic cervical severe spondylolisthesis is a rare and severe lesion which is typically associated with a spinal cord injury. Nevertheless, it occasionally has a pauci-symptomatic course which may delay its diagnosis. The authors report an exceptional case of a 33-year-old woman who had mild spasticity in her lower limbs and neck pain 9 months after a traffic accident. The computed tomographic scan and magnetic resonance image revealed C7–T1 grade III spondylolisthesis and spinal cord signal change. The initial cervical traction did not obtain a spinal realignment. An anterior-posterior approach was performed to achieve a correct spinal fusion. After 18 months of follow-up care, the patient’s symptoms improved significantly and she began to lead a normal life again. The case underlines the importance of performing a correct initial diagnostic workup upon a patient. This would improve surgical management by avoiding a worsening of the initial neurological deficit during the realignment maneuvers in the chronic grade III, IV or V spondylolisthesis.},
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/3734}
}