Transection of Double‐level Spinal Cord without Radiographic Abnormalities in an Adult: a Case Report

Introduction Double-level spinal injury, which rarely occurs simultaneously in adults, induces complex complications. There is only one published report of this phenomenon: that of a threeyear-old boy who was admitted to the emergency department with paraplegia after being hit by a car. Computed tomography (CT) and plain radiographs failed to reveal any bone fracture or dislocation. However, magnetic resonance imaging (MRI) showed loss of continuity with near-complete and complete anatomic transection of the spinal cord at the T3–4 and T6–7 levels. The boy received conservative treatment and had a poor prognosis. The double-level injuries of cervical distraction fracture and dislocation and thoracic cord transection in an adult have never been previously reported. Here we present a case of double-level spinal injury caused by a traffic accident.