06/09/2025
A rare case of complete dislocation of C2-C3 with unexpectedly mild neurological symptoms is presented in a 57-year-old man involved in a motor vehicle accident, who had previously undergone a posterior laminectomy from C3 to C7. Clinical histories retrospective analysis and a full radiographic review were performed. X-rays and CT scan of the cervical spine demonstrated a complete dislocation at the C2-C3 level. Computed angiography revealed the abruption of both vertebrae arteries; however, blood flow was evident in the basilar artery. After radiologically guided placement in cervical traction with tweezers that reduced subluxation by approximately 50%, the patient had a spontaneous eye opening and was able to follow commands. A 360-degree stabilization was performed in two stages and the patient was finally discharged 24 days after being admitted with his neurological condition basically unchanged. In conclusion, our patient presented surprisingly mild neurological symptoms. Laminectomy previously performed could have predisposed injury, as well as protected his spinal cord from potentially fatal trauma. Ali Clinic & X-ray Digital MuzaffargarH
