Traumatic Cervical Unilateral and Bilateral Facet Dislocations Treated With Anterior Cervical Discectomy and Fusion Has a Low Failure Rate

Global Spine Journal
Alireza K AnissipourRichard J Bransford

Abstract

Retrospective radiographic and chart review. To define the rate and associated risk factors of treatment failure of anterior cervical fusion for treatment of cervical facet dislocations. Between 2004 and 2014, a retrospective review at a single level 1 trauma center identified 38 patients with unilateral or bilateral dislocated facet(s) treated with anterior cervical discectomy and fusion (ACDF). Two patients were eliminated due to less than 30-day follow-up. Demographic data, initial neurological exams, surgical data, radiographic findings, and follow-up records were reviewed. Of the 36 patients with facet dislocations treated with ACDF using a fixed locking plate, 16 were unilateral and 20 were bilateral. The mean age was 35 years (range 13-58). Mean follow-up was 323 days (range 30-1998). There were 3 treatment failures (8%). Three of 7 (43%) endplate fractures failed (P < .01), and 1/28 (4%) facet fractures failed (P = .13). The mean time to failure was 4 weeks (1-7 weeks). One treatment failure had a facet fracture, and all 3 failures had an associated endplate fracture. Treatment failure occurred in 3 out of 36 (8%) patients with facet fracture dislocations treated with anterior cervical discectomy, fusion, and plating. R...Continue Reading

References

Mar 1, 1992·The Journal of Bone and Joint Surgery. British Volume·P A Robertson, M D Ryan
Sep 1, 1991·Surgical Neurology·M J RandleM Salcman
Jun 1, 1996·Journal of Neurosurgery·C G ParamoreV K Sonntag
Jun 26, 2001·Annals of Emergency Medicine·W GoldbergUNKNOWN NEXUS Group
Jan 22, 2004·Journal of Spinal Disorders & Techniques·Thomas HenriquesHalldór Jónsson
Dec 7, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kyung-Jin Song, Kwang-Bok Lee

❮ Previous
Next ❯

Citations

Sep 3, 2020·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·Jun-Song YangDing-Jun Hao
Jul 24, 2020·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·Jose A CansecoUNKNOWN AO Spine Cervical Classification Validation Group
Feb 13, 2021·Curēus·Islam MubarkNeil Ashwood
Apr 23, 2020·Asian Spine Journal·Siddharth Sekhar SethyPankaj Kandwal
Oct 24, 2020·World Neurosurgery·Andrei F JoaquimUNKNOWN AOSpine LatinoAmerican Trauma Study Group
Jun 22, 2021·Asian Spine Journal·Vibhu Krishnan Viswanathan, Surabhi Subramanian
Dec 4, 2021·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·Siddharth Sekhar SethyPankaj Kandwal

❮ Previous
Next ❯

Methods Mentioned

BETA
pullout

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.