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Traumatic hangman's fracture after cervical disk arthroplasty with device in-tact: A case report and literature review.


ABSTRACT:

Background context

Cervical disk arthroplasty (CDA) has been demonstrated to be a safe and effective method to treat myelopathy with the added benefit of preserving neck mobility compared to anterior cervical discectomy and fusion (ACDF). Few studies describe complications of trauma after CDA, and to our knowledge this is the only study describing a grossly intact artificial cervical disk (ACD) without extrusion after high energy trauma. Based on our case and a review of literature, we hypothesize that, given adequate osseous integration (OI), CDA may be a safe intervention despite their risk for higher energy trauma.

Purpose

To present a rare case of high-energy trauma after CDA resulting in a Hangman's fracture and grossly in-tact ACD and to engage a biomechanical discussi

SUBMITTER: Fuller C 

PROVIDER: S-EPMC8820030 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature