胸椎椎間固定者に発症したシートベルトによる下位頚椎・頚髄損傷の１例

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  • Lower cervical spinal injury with thoracic vertebra arthodesis due to shoulder seat belt

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We report a very rare case of cervical spinal cord injury in connection with thoracic vertebra arthrodesis following a motor vehicle accident involving a 3-point seat belt. A 36-year-old man napping in the passenger seat was injured by the seat belt when his car ran into a traffic pole. He was diagnosed with anterodislocation of the fifth cervical vertebra and cervical spinal cord injury. Steroid pulse therapy and halo traction therapy moderately improved his neurological abnormality. There was ecchymosis due to shoulder seat belt pressure on the left neck, which was at a higher level than usual. We concluded that the shoulder seat belt injured him directly due to submarining, because he was drowsy at the accident. His history of thoracic vertebra arthrodesis would also be related to the cervical spinal cord injury.

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