[Answered]: Preoperative Diagnosis: C5 compression fracture…

Preoperative Diagnosis: C5 compression fracture Postoperative Diagnosis: C5 compression fracture Procedure: C5 corpectomy and fusion fixation of C4-C6 with fibular strut graft and Atlantis plate Anesthesia: General endotracheal This is a 17-year-old male status post assault. The patient sustained a C5 compression fracture. MRI scan showed compression with evidence of posterior ligamentous sprain. The patient was subsequently set up for the surgical procedure. The procedure was described in detail, including the risks. The risks included but not limited to bleeding, infection, stroke, paralysis, death, CSF leak, loss of bladder and bowel control, hoarse voice, paralyzed vocal cord, death, and damage to adjacent nerves and tissues. The patient understood the risks. The patient also understood that the instrumentation could fail, break, or the screws could pull out. The patient provided consent. The patient was taken to the OR. The patient was induced. An endotracheal tube was placed. A Foley was placed. The patient was given preoperative antibiotics. The patient was placed in slight extension. The right neck was prepped and draped in the usual manner. A linear incision was made over the C5 vertebral body. The platysma was divided. Dissection was continued medial to the sternocleidomastoid to the prevertebral fascia. This was cauterized and divided. The longus colli was cauterized and elevated. The fracture was visualized. A spinal needle was used to verify the location using fluoroscopy. The C5 vertebral body was drilled out. The bone was saved. The disk above and below were removed. The posterior longitudinal ligament was removed. The bone was quite collapsed and fragmented. Distraction pins were then packed with bone removed from the C5 vertebral body prior to implantation. Strut graft was packed into the hollow areas. A plate was then placed with screws in the C4 and C6 vertebral bodies. The locking screws were tightened. The wound was irrigated. Bleeding was helped with the bipolar. The retractors were removed. The incision was approximated with simple interrupted Vicryl. The subcutaneous tissue was approximated and the skin edges were approximated subcuticularly. A dressing was applied. Patient placed in Aspen collar and transferred to recovery.