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Cervical facet dislocation: techniques for ventral reduction and stabilization.

B J Ordonez1, E C Benzel, S Naderi

  • 1Neurosurgical Associates, Norfolk, Virginia, USA.

Journal of Neurosurgery
|January 1, 2000
PubMed
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The ventral surgical approach is a safe and effective treatment for cervical facet dislocations. This method successfully decompressed, reduced, and stabilized the spine in most patients, improving neurological function.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Cervical facet dislocations often result from significant ligamentous injury.
  • These injuries can lead to spinal cord injury or neurological deficits.

Purpose of the Study:

  • To evaluate the safety and efficacy of a ventral surgical approach for treating cervical facet dislocations.
  • To demonstrate the utility of this approach for decompression, reduction, and stabilization.

Main Methods:

  • Retrospective review of 10 patients with unilateral or bilateral cervical facet dislocations.
  • All patients underwent ventral decompressive surgery, reduction, and stabilization.
  • Imaging studies included plain radiography, MRI, and CT scans.

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Main Results:

  • Ventral approach successfully achieved decompression, reduction, and stabilization in 9 out of 10 patients.
  • No surgery-related complications were reported.
  • Neurological status improved in 60% of patients, with no deterioration observed.

Conclusions:

  • Ventral surgical decompression, reduction, and stabilization is a safe and effective treatment option.
  • This approach is suitable for patients with unilateral or bilateral cervical facet dislocations.
  • The technique is particularly effective in cases without significant bone disruption.