ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Internal jugular vein thrombosis in cervical spine trauma causing pulmonary embolism - a rare case report and review of the literature.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo report an extremely rare occurrence of post-traumatic internal jugular vein (IJV) thrombosis leading to pulmonary embolism following cervical spine fracture dislocation.
methodsA 50-year-old healthy man with an AO type C C6-C7 fracture-dislocation and ASIA grade C quadriparesis underwent combined same-day posterior decompression-instrumentation and anterior cervical discectomy and fusion.
resultsOn post-operative day 2, acute desaturation prompted CT pulmonary angiography, which demonstrated a saddle pulmonary embolism. Lower-limb venous ultrasound was negative for deep vein thrombosis. Pre-operative MRI and neck ultrasonogram revealed absence of left IJV flow indicating a post-traumatic thrombus serving as an occult embolic source. Progressive hemodynamic instability necessitated thrombolysis, prolonged mechanical ventilation, and tracheostomy. Follow-up ultrasonography at three weeks confirmed complete IJV recanalization. At six months, the patient was independently ambulant.
conclusionPeri-vertebral venous injury may serve as a hidden source of thromboembolism in high-energy cervical spine trauma. Absence of IJV flow void on MRI should prompt focused vascular assessment. Early recognition and decisive multidisciplinary management can be lifesaving.
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