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Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Traumatic C4-C5 unilateral facet dislocation with posterior disc herniation above a prior anterior fusion
Noah M Raizman1, Warren D Yu, Matthew V Jenkins
1Department of Orthopaedic Surgery, George Washington University School of Medicine, Washington, DC 20037, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|July 28, 2012
Abstract:
We report the case of a unilateral cervical facet dislocation above the level of a prior non-instrumented cervical discectomy and fusion, resulting in incomplete neurologic injury. Pre-reduction imaging demonstrated a large posterior disk extrusion. This finding altered our management approach from closed reduction to urgent anterior cervical discectomy, open anterior reduction, and fusion. The patient had excellent neurologic recovery and outcome at 12 months postoperative follow-up.