Rare case of real-time observation of paralytic deterioration after cervical dislocation in the hyperacute phase

Endo, Tsutomu; Suda, Kota; Fukui, Takafumi; Matsumoto, Satoko; Komatsu, Miki; Ota, Masahiro; Ushiku, Chikara; Yamane, Junichi; Minami, Akio; Takahata, Masahiko; Iwasaki, Norimasa

Rare case of real-time observation of paralytic deterioration after cervical dislocation in the hyperacute phase

Endo, Tsutomu; Suda, Kota; Fukui, Takafumi et al.

BMC musculoskeletal disorders, 2022, 23(1), 412

Permalink : https://hdl.handle.net/2115/86280

このアイテムのアクセス数:442件（2026-10-07 23:33 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
https://doi.org/10.1186/s12891-022-05345-2			17

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/86280
タイトル	Rare case of real-time observation of paralytic deterioration after cervical dislocation in the hyperacute phase
著者	Endo, Tsutomu ; Suda, Kota ; Fukui, Takafumi ; Matsumoto, Satoko ; Komatsu, Miki ; Ota, Masahiro ; Ushiku, Chikara ; Yamane, Junichi ; Minami, Akio ; Takahata, Masahiko ; Iwasaki, Norimasa
e-Rad_Researcher 90805293 著者名 Endo, Tsutomu
著者名 Suda, Kota
著者名 Fukui, Takafumi
著者名 Matsumoto, Satoko
著者名 Komatsu, Miki
著者名 Ota, Masahiro
著者名 Ushiku, Chikara
著者名 Yamane, Junichi
e-Rad_Researcher 20133738 著者名 Minami, Akio
e-Rad_Researcher 40374368 著者名 Takahata, Masahiko
e-Rad_Researcher 30322803 著者名 Iwasaki, Norimasa
言語	英語
キーワード	Spinal cord injury
	Dislocation
	Quadriplegia
	Complete paralysis
発行日	2022-05-02
出版者	BioMed Central
収録物名	BMC musculoskeletal disorders
巻(号)	23(1)
ページ	412
抄録	Background There have been no prior reports of real-time detailed records leading to complete quadriplegia immediately after fracture dislocation in high-energy trauma. Here, we report a case of cervical dislocation in which the deterioration to complete motor paralysis (modified Frankel B1) and complete recovery (Frankel E) could be monitored in real time after reduction in the hyperacute phase. Case presentation A 65-year-old man was involved in a car accident and sustained a dislocation at the C5/6 level (Allen-Ferguson classification: distractive flexion injury stage IV). His paralysis gradually deteriorated from Frankel D to C 2 hours after the injury and from Frankl C to B 5 hours after the injury. His final neurological status immediately before reduction was Frankel B1 (complete motor paralysis with sensation only in the perianal region). Reduction was completed within 6 h and 5 min after injury, and spinal fusion was subsequently performed. The patient exhibited rapid motor recovery immediately after surgery, and was able to walk independently on postoperative day 14. Conclusions This case suggests that there is a mixture of cases in which the spinal cord has not been catastrophically damaged, even if the patient has complete motor paralysis. Prompt reduction has the potential to improve neurological function in such cases.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1186/s12891-022-05345-2