Manual reduction and Anterior Stabilisation for traumatic C2-C3 Subluxation, A case report

A rare case of c2 c3 subluxation in a 19 year old man without neurological defecit following a low violence injury . Xrays and CT of cervical spine revealed a subluxation at C2 C3 level with no cord involvement in MRI. With the patient in conscious sedation under fluoroscopy, reduction was done but the subluxation was not stable. So Anterior cervical stabilisation with tricortical bone graft and anterior cervical locking plate was done. Subluxation and dislocation of the cervical spine in adults commonly occur at the highly mobile lower segments (C4-C7). This is in contrast to the occurrence in children, where it involves the upper cervical spine due to anatomical differences in the developing spine. In conclusion ,the rare case with unstable subluxation in a adult male is reported for management by anterior stabilisation.