Neglected traumatic dislocation of the subaxial cervical spine

The Journal of Bone and Joint Surgery. British Volume
A K JainP Mishra

Abstract

The optimal method for the management of neglected traumatic bifacetal dislocation of the subaxial cervical spine has not been established. We treated four patients in whom the mean delay between injury and presentation was four months (1 to 5). There were two dislocations at the C5-6 level and one each at C4-5 and C3-4. The mean age of the patients was 48.2 years (27 to 60). Each patient presented with neck pain and restricted movement of the cervical spine. Three of the four had a myelopathy. We carried out a two-stage procedure under the same anaesthetic. First, a posterior soft-tissue release and partial facetectomy were undertaken. This allowed partial reduction of the dislocation which was then supplemented by interspinous wiring and corticocancellous graft. Next, through an anterior approach, discectomy, tricortical bone grafting and anterior cervical plating were carried out. All the patients achieved a nearly anatomical reduction and sagittal alignment. The mean follow-up was 2.6 years (1 to 4). The myelopathy settled completely in the three patients who had a pre-operative neurological deficit. There was no graft dislodgement or graft-related problems. Bony fusion occurred in all patients and a satisfactory reduction ...Continue Reading

References

Dec 1, 1991·The Journal of Trauma·B D GerreltsS R Petersen
Jul 1, 1988·Spine·C R ClarkS Ehara
Sep 1, 1987·The Journal of Trauma·D C ReidJ D Miller
Jul 20, 2002·The Journal of Trauma·Gregory W HendeyUNKNOWN National Emergency X-Radiography Utilization Study Group
Oct 16, 2002·International Orthopaedics·Mohammed G Hassan
Jul 13, 2006·The Journal of Trauma·Patrick PlatzerChristian Gaebler
May 29, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·M Payer, E Tessitore

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Citations

May 8, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Abhishek SrivastavaBenjamin Phak Boon Tow
Sep 3, 2011·Indian Journal of Orthopaedics·S RajasekaranAjoy Prasad Shetty
Sep 16, 2016·Journal of Craniovertebral Junction and Spine·Sudhir Kumar SrivastavaPradip Sharad Nemade
Nov 15, 2014·Global Spine Journal·Ignacio J Barrenechea
Dec 19, 2013·Clinical Spine Surgery : a Spine Publication·Xingjie JiangFeng Zhang
Aug 26, 2016·Asian Spine Journal·Kavin KhatriShivanand Gamanagatti
Jun 7, 2013·Asian Spine Journal·Amit AgrawalSurya Pratap Singh
Feb 24, 2015·The American Journal of Case Reports·Alexa Bodman, Lawrence Chin
Dec 21, 2011·Journal of Orthopaedic Surgery·Saumyajit BasuAgnivesh Tikoo
Feb 16, 2021·British Journal of Neurosurgery·Dhiraj SonawaneAjay Chandanwale

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