{"id":"6ea5db42-1b3d-427e-ae64-2efe5f0f995e","slug":"sequential-traumatic-cervical-fractures-after-paragliding-accidents-a-case-report-and-literature-review","title":"Sequential traumatic cervical fractures after paragliding accidents – A case report and literature review","authors":["Catarina Silva Pereira","António Lemos Lopes","Ricardo Rodrigues-Pinto"],"abstract":"Background: Sports related cervical spine trauma may range from minor injuries to severe life-threatening fractures with spinal cord injuries as following paragliding accidents. Case Description: A 52-year-old male sustained C4-C5 and C6-C7 fracture-dislocations (American Spinal Injury Association-D) attributed to a paragliding accident. He underwent a C5 corpectomy with C4-C6 anterior fusion. Three years later, he again sustained a paragliding accident, now resulting in a C6-C7 fracture-dislocation that required a C6-C7 anterior discectomy fusion. However, when this latter fusion “failed” 1 month later, he subsequently required a 360° fusion performed as a two-stage procedure. Further, 2 years later, he was involved in a motor vehicle accident resulting in an odontoid fracture. Conclusion: Unstable spinal fractures require surgical fixation to prevent neurological injury. Long cervical fusions create lever arms that increase the stress to adjacent levels, rendering them prone to future injury.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/6ea5db42-1b3d-427e-ae64-2efe5f0f995e/featured/hero-1781562725833.png","publishDate":"2021-02-10T00:00:00.000Z","doi":"10.25259/SNI_761_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/02/10585/SNI-12-47.pdf"}