A Rare Case of Self-inflicted Cervical Spine Fracture Resulting in Acute Traumatic Paraplegia: Insights into Mechanism and Underlying Psychological Factors

Aim and background: Among trauma cases, cervical spine trauma is quite common, but self-inflicted cervical spine fractures leading to paraplegia are extremely rare and often associated with acute emotional distress or underlying psychosocial factors.Case description: We report the case of a 20-year-old male who sustained a severe C5-C6 cervical spine fracture after forcefully hitting his head against a wall during an episode of anger following a domestic argument with his parents.The injury resulted in immediate loss of motor and sensory function below the level of the neck, leading to acute traumatic paraplegia.Immediate cervical spine immobilisation was initiated, and the patient was treated with anti-inflammatory medication and psychological support.The spinal cord injury score is [American Spinal Injury Association (ASIA)] grade A. The patient was referred for long-term neurorehabilitation and psychological counselling.Conclusion: This case highlights an unusual mechanism of injury, the psychosocial background contributing to impulsive self-harm, and the devastating neurological consequences.Clinical significance: Early recognition, spinal stabilisation, and rehabilitation are critical.The report emphasises the importance of integrating psychological assessment and family counselling in managing paraplegia and self-inflicted trauma.