Treatment of chronic bilateral facet dislocation in a 6-year-old: A case report

SAGE Open Medical Case Reports
Nabil Alassaf, Walid Attia

Abstract

Spine injuries seldom affect the subaxial spine in children less than 9 years of age. We describe the management of a chronic paediatric bilateral facet dislocation. Case report and literature review. A 6-year-old boy presented 10 weeks after a motor vehicle collision with bilateral C4-C5 malunited facet dislocation. He had an incomplete spinal cord injury; right brown sequard hemiplegia, Frankel grade D. Surgical management was through posterior-anterior-posterior approach without preoperative skull traction. Two years postoperatively, the child was asymptomatic, ambulating and functioning well. The injury had healed in radiographs. A combined approach for chronic bilateral facet dislocation applies to the paediatric age group to realign the spine.

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