Fracture through fused cervical segments following trauma in
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An 80-year-old male was admitted to hospital following a fall accident which had occurred while he was carrying a log. On arrival, he was in a comatose state (Glasgow Coma scale score - 7) so that the evaluation of his paralysis was initially difficult. He developed respiratory failure with abdominal breathing requiring intubation and ventilation. A computed tomography scan showed an isolated fracture through C5 to C7 fused cervical segments with Os odontoideum at C2 and a unilateral hypoplastic kidney. Magnetic resonance imaging showed two high-intensity areas at C4 and C6 of the cervical spinal cord [Figure 1]. After he underwent anterior and posterior interbody fusion, he had grade 3/5 power in both upper limbs and grade 1/5 power in both lower limbs with sensory loss below C5. He required a temporary pace-maker for a treatment of severe bradycardia that resulted in a few episodes of cardiac arrest...

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