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Related Experiment Videos

Delayed presentation of cervical facet dislocations.

Saumyajit Basu1, Farid H Malik, Jay Deep Ghosh

  • 1Department of Neurosciences, Park Clinic, Minto Park, Kolkata, India. saumyajitbasu@hotmail.com

Journal of Orthopaedic Surgery (Hong Kong)
|December 21, 2011
PubMed
Summary

Preoperative traction is a safe and effective initial treatment for delayed cervical facet dislocations, reducing the need for extensive surgery. Successful closed reduction allows for anterior discectomy and fusion, while failed reduction necessitates posterior facetectomy and fusion.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Delayed presentation of cervical facet dislocations poses treatment challenges.
  • Understanding outcomes is crucial for managing these complex spinal injuries.

Purpose of the Study:

  • To review treatment outcomes for 19 patients with delayed cervical facet dislocations.
  • Evaluate the efficacy of preoperative traction and subsequent surgical interventions.

Main Methods:

  • Retrospective review of 19 patients with delayed cervical facet dislocations (7-21 days delay).
  • Neurological status assessed using Frankel classification.
  • Treatment involved closed reduction with skull traction, followed by anterior discectomy and fusion or posterior facetectomy and fixation if closed reduction failed.

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Main Results:

  • All patients experienced pain relief and regained sufficient neck movement.
  • Nerve root injury patients fully recovered; incomplete spinal cord injury patients improved by 1-2 Frankel grades.
  • Successful closed reduction with traction led to anterior discectomy and fusion, minimizing extensive surgery.

Conclusions:

  • Preoperative traction is a safe and effective initial treatment for neglected cervical facet dislocations.
  • It reduces the need for combined anterior and posterior surgical approaches.
  • Anterior discectomy and fusion is the preferred surgical choice after successful closed reduction.