A Rare Case of Isolated traumatic Complete C2-C3 Dislocation

Isolated complete C2-C3 dislocation is a rare occurrence owing to the presence of strong supporting elements present in the region. Cervical spine injuries occur in a small minority of patients with blunt trauma who undergo imaging. The atlantoaxial region is the most common site of injury, and the sixth and seventh vertebrae are involved in over one third of all injuries. Other spine levels are much more commonly involved than has previously been appreciated. We report here such a case due to fall from bullock cart. Clinically he was quadriparetic with preserved higher mental functions. He was conscious, well oriented and were following verbal commands. CT scan and MRI revealed complete C2-C3 dislocation with cord oedema and without any other associated fracture. Cervical traction was given under radiological guidance followed by anterior C2-C3 discectomy and fusion was done by using Iliac Bone Graft and fixation done using titanium plate. Patient has shown good improvement in the neurological status with good power recovery.