Related Experiment Video
Updated: May 2, 2026
Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery
Published on: November 17, 2023
A delayed diagnosis of bilateral facet dislocation of the cervical spine: a case report
Julie O'Shaughnessy1, Julie-Marthe Grenier1, Paula J Stern2
1Full time professor, Département de chiropratique, Université du Québec à Trois-Rivières (UQTR), Trois-Rivières, Québec, Canada.
Objective:
To review the case of a patient suffering from bilateral facet dislocation of the cervical spine.
Clinical Features:
A 53-year-old male was involved in a car accident and was transported to the hospital. Cervical radiographs were taken at the emergency department and interpreted as normal. Four days later, he consulted a chiropractor where radiographs of the cervical spine were repeated. The examination revealed bilateral cervical facet joint dislocation at C5-C6 as well as a fracture involving the spinous process and laminae of C6.
Intervention And Outcome:
The patient was referred to the hospital and underwent surgery.
Conclusion:
Patients involved in motor vehicle accidents often consult chiropractors for neck pain treatment. A high index of suspicion due to significant history and physical examination findings should guide the clinician in determining the need for reviewing the initial radiographs (if taken and available) or request repeat studies, regardless of the initial imaging status.
