With the Foot to the Neck

The surgical resolution of a cervical spine fracture dislocation is well known; however, there are certain difficulties when the right instrumentation is not available at the right time. We present an alternative solution for a cervical injury with complete medullary involvement. Patient and Methods: A patient, 45 years old, suffered a fall from a height (tree), arriving at the emergency service with tetraplegia. Imaging study reveals a C6–C7 fracture dislocation. Orthopedic reduction was performed and stabilization occurs in the first 6 hours postaccident. It is reduced manually and stabilized with a compact foot H-plate 2.7.Results The surgical and neurological evolution of the patient was favorable. Currently, the patient is autonomous, has sphincter control, and walks with a cane.Conclusion The management of upper cervical spine fractures presents an interesting challenge given the complexity and possible complications derived from these injuries. Their management is not usually difficult if the proper equipment is available. We present a possible solution when the correct spinal instrumentation is not available that can help solve such injuries with favorable results.