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Nonoperative Management of Chronically Subluxated Bilateral Cervical Facets with Bony Fusion: A Case Report
Tyler Humphrey1, Junho Song2, Andrew Zhang3
1Department of Orthopaedic Surgery, Newton Wellesley Hospital, Newton, Massachusetts.
Case:
We describe a case of a 65-year-old woman with bilateral chronically subluxated C6 to 7 facets with facet fusion, who presented for care for the first time 1 year after a motor vehicle accident. The patient was minimally symptomatic at the time of her evaluation; thus, nonoperative treatment was provided. At 3-year follow-up, our patient remained minimally symptomatic with no progression of neurologic deficits.
Conclusion:
Consistent with previous reports, conservative management was used rather than surgical fusion in a patient with stable osseous fusion complexes and minimal neurologic symptoms.
