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Cervical intervertebral disc prolapse associated with traumatic facet dislocations
N R Berrington1, J F van Staden, J G Willers
1Department of Neurosurgery, University of Pretoria, South Africa.
Surgical Neurology
|November 1, 1993
Summary
Closed reduction of cervical facet joint dislocations can be dangerous. Traumatic cervical disc prolapse may occur, leading to severe complications. Prompt diagnosis and surgical intervention are crucial for patient safety.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Spinal Medicine
Background:
- Facet joint dislocations in the cervical spine are typically managed with closed reduction.
- This procedure is widely considered safe by the medical community.
Observation:
- Four cases of traumatic cervical disc prolapse were identified following closed reduction of facet joint dislocations.
- Two cases experienced catastrophic consequences due to unaddressed disc prolapse.
Findings:
- Traumatic cervical disc prolapse is a potential complication of closed reduction for facet joint dislocations.
- Radiological assessment is critical to exclude disc prolapse before reduction.
Implications:
- Closed reduction without radiological screening carries significant risks.
- Anterior discectomy with open reduction and fixation offers a safe and effective treatment alternative.