Servikal Travma ve Faset Kilitlenmesi
Özet
Araç içi trafik kazası sonrası C4-C5 seviyesinde bilateral faset çıkığı ve kilitlenmesi gelişen 51 yaşındaki kadın hastaya, nörolojik defisitlerinin ciddiyeti nedeniyle acil cerrahi müdahale uygulanmıştır. Önce posterior yaklaşımla faset redüksiyonu ve stabilizasyon yapılmış, ardından anterior mikrodiskektomi ve plak-vida sistemi ile 360 derece çevresel stabilizasyon sağlanmıştır. Ameliyat sonrası 6. ayda hastanın nörolojik fonksiyonlarında belirgin iyileşme gözlenmiş ve desteksiz mobilize olmaya başlamıştır. Bu vaka, servikal travmalarda erken dekompresyonun ve multidisipliner cerrahi yaklaşımın klinik başarısını ortaya koymaktadır.
A 51-year-old female patient presented with bilateral facet dislocation and locking at the C4-C5 level following a traffic accident, resulting in significant neurological deficits. Emergency surgery was performed using a combined 360-degree approach, involving posterior reduction and stabilization followed by anterior microdiscectomy and plating. By the sixth month post-operation, the patient showed substantial neurological recovery and was able to mobilize without assistance. This case highlights the importance of early decompression and circumferential stabilization in achieving positive clinical outcomes for cervical spinal injuries.
Referanslar
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