{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:40Z","timestamp":1756425820025,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,10]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Cervical fracture dislocation often leads to neurological deficits, manifesting with sensory and motor symptoms, which may persist even after surgical intervention. We presented two cases with mild neurological deficits following such injuries. In Case 1, the patient presented with left-hand numbness 1\u2009month after a car accident. Despite this, he exhibited full muscle power in all four limbs. Cervical spine MRI revealed a posterior column tear, facet fracture dislocation and spinal cord indentation at the C5\/C6 level. The patient underwent open reduction with anterior and posterior fixation. After surgery, the patient was discharged without neurological deficits. In Case 2, the patient complained of mild right wrist extensor weakness and right shoulder muscle atrophy 2\u2009months after a fall at work. Imaging studies revealed a locked facet at the right C6\/C7 level. The patient underwent both anterior and posterior surgical interventions, followed by rehabilitation. By the time of discharge, the patient had regained almost full muscle power in all four limbs.<\/jats:p>","DOI":"10.1136\/bcr-2024-263165","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T21:20:24Z","timestamp":1737667224000},"page":"e263165","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical spine fracture dislocation with mild neurological deficits"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5450-7408","authenticated-orcid":false,"given":"Min-Yang","family":"Hsu","sequence":"first","affiliation":[{"name":"Fu Jen Catholic University Hospital, New Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9099-746X","authenticated-orcid":false,"given":"Wei-Lung","family":"Tseng","sequence":"additional","affiliation":[{"name":"Neurosurgery, Fu Jen Catholic University Hospital, New Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"2025082801552794000_18.1.e263165.1","doi-asserted-by":"crossref","unstructured":"Tamburrelli FC , Meluzio MC , Perna A , et al . Cervical Spine Fractures and Dislocations, Classification and Treatment. Cervical Spine 2022;211\u201329. doi:10.1007\/978-3-030-94829-0_11","DOI":"10.1007\/978-3-030-94829-0_11"},{"key":"2025082801552794000_18.1.e263165.2","doi-asserted-by":"crossref","unstructured":"Ko HY . Epidemiology and demographics of spinal cord injuries.2023:253\u201369.","DOI":"10.1007\/978-981-99-4542-9_13"},{"key":"2025082801552794000_18.1.e263165.3","article-title":"Emergency closed reduction of a c4\/5 fracture dislocation with complete paraplegia resulting in profound neurologic recovery","volume":"2013","author":"M\u00fcller","year":"2013","journal-title":"Case Rep Orthop"},{"key":"2025082801552794000_18.1.e263165.4","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1186\/s12891-020-03684-6","article-title":"Six-year follow-up of a survivor of cervical spine fracture and dislocation with oesophageal perforation following long scarf syndrome - a case report and literature review","volume":"21","author":"Li","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"2025082801552794000_18.1.e263165.5","doi-asserted-by":"crossref","DOI":"10.1038\/s41394-020-00365-3","article-title":"Atypical hangman\u2019s fracture with concomitant subaxial fracture-dislocation treated with circumferential fusion of C2-C5-a case report","volume":"6","author":"Pinter","year":"2020","journal-title":"Spinal Cord Ser Cases"},{"key":"2025082801552794000_18.1.e263165.6","first-page":"3990","article-title":"Successful surgical management of traumatic cervical spine injury in a patient with ankylosing spondylitis: a case report","volume":"10","author":"Zan","year":"2017","journal-title":"Int J Clin Exp Med"},{"key":"2025082801552794000_18.1.e263165.7","doi-asserted-by":"crossref","first-page":"194","DOI":"10.2185\/jrm.5.194","article-title":"Treatment for lateral flexion fracture dislocation of the cervical spine: report of two cases","volume":"5","author":"Shiina","year":"2010","journal-title":"J Rural Med"},{"key":"2025082801552794000_18.1.e263165.8","doi-asserted-by":"crossref","DOI":"10.1186\/s13613-021-00938-x","article-title":"Separation from mechanical ventilation and survival after spinal cord injury: a systematic review and meta-analysis","volume":"11","author":"Schreiber","year":"2021","journal-title":"Ann Intensive Care"},{"key":"2025082801552794000_18.1.e263165.9","article-title":"Management of Cervical Spine Fractures: A Literature Review","volume":"13","author":"Beeharry","year":"2021","journal-title":"Cureus"},{"key":"2025082801552794000_18.1.e263165.10","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjae039","article-title":"Extreme dislocation of the cervical spine-case report","volume":"2024","author":"Zagorac","year":"2024","journal-title":"J Surg Case Rep"},{"key":"2025082801552794000_18.1.e263165.11","doi-asserted-by":"crossref","first-page":"3597","DOI":"10.37275\/bsm.v7i9.865","article-title":"Critical care management of fracture dislocation of cervical spine: a case report","volume":"7","author":"Kahar","year":"2023","journal-title":"Bioscmed"},{"key":"2025082801552794000_18.1.e263165.12","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1302\/0301-620X.74B2.1544956","article-title":"Progressive paralysis after bilateral facet dislocation of the cervical spine","volume":"74","author":"Mahale","year":"1992","journal-title":"J Bone Joint Surg Br"},{"key":"2025082801552794000_18.1.e263165.13","doi-asserted-by":"crossref","unstructured":"Yang Q , Yang Z-C , Liu C-X , et al . Severe traumatic dislocation of the lower cervical spine with mild neurological symptoms: Case reports and literature review. 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