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Published on: November 8, 2024
Delayed surgical treatment for a traumatic bilateral cervical facet joint dislocation using a posterior-anterior
Takashi Shimada1, Seiji Ohtori, Gen Inoue
1Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan. sohtori@faculty.chiba-u.jp.
Introduction:
There have been few reports of patients with bilateral cervical facet dislocations that remain untreated for eight weeks or more. We report the case of a 76-year-old man with an old bilateral cervical facet joint dislocation fracture that was treated by posterior-anterior reduction and fixation.
Case Presentation:
A 76-year-old Asian man was involved in a road traffic accident. He presented with neck pain and arm pain on his right side, but motor weakness and paralysis were not observed. He was treated conservatively; however, instability and spondylolisthesis at the C5 to C6 joint increased eight weeks after the injury. We performed a posterior-anterior reduction and fixation. After surgery, bony union was achieved, and his neck pain and arm pain disappeared.
Conclusion:
We recommend reduction and fixation surgery if a patient has an old bilateral facet joint dislocation fracture in the cervical spine.