Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients

Background Data: treatment of cervical facet dislocations has varied from closed reduction and external immobilization to combined anterior and posterior instrumentation and fusion. Purpose: to evaluate single level anterior fixation for the management of cervical facet dislocations following closed...

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Autores principales: Ahmed Salah, Hossam Taha
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Lenguaje:EN
Publicado: Egyptian Spine Association 2012
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spelling oai:doaj.org-article:412cc61a036946338d754f76b028ada82021-12-02T01:35:09ZCervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 PatientsDOI:10.21608/ESJ.2012.38002314-89502314-8969https://doaj.org/article/412cc61a036946338d754f76b028ada82012-10-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3800.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: treatment of cervical facet dislocations has varied from closed reduction and external immobilization to combined anterior and posterior instrumentation and fusion. Purpose: to evaluate single level anterior fixation for the management of cervical facet dislocations following closed or open reduction. Study Design: retrospective analysis of a case series. Patients and Methods: twenty-one patients (12 unilateral and 9 bilateral) with cervical facet dislocation were treated by reduction and anterior plate fixation. Results: the male to female ratio was 3.2:1. The mean age was 44 years. The commonest affected level was C5-6 (48.2%). Closed reduction by traction and open reduction were successful in 81.2% and 88.8% of attempted trials respectively. Radicular and incomplete spinal cord injuries showed better outcome than complete lesions. Solid fusion in good alignment was achieved in 20 patients while solid fusion with partial re-dislocation occurred in one patient with no further treatment required. Conclusion: anterior plate fixation alone is effective in treatment of cervical facet dislocations which can be successfully reduced either by traction or open anterior reduction. (2012ESJ029)Ahmed SalahHossam TahaEgyptian Spine Associationarticlecervical facetdislocationfracture dislocationanterior platingReductionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 4, Iss 1, Pp 26-33 (2012)
institution DOAJ
collection DOAJ
language EN
topic cervical facet
dislocation
fracture dislocation
anterior plating
Reduction
Neurology. Diseases of the nervous system
RC346-429
spellingShingle cervical facet
dislocation
fracture dislocation
anterior plating
Reduction
Neurology. Diseases of the nervous system
RC346-429
Ahmed Salah
Hossam Taha
Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients
description Background Data: treatment of cervical facet dislocations has varied from closed reduction and external immobilization to combined anterior and posterior instrumentation and fusion. Purpose: to evaluate single level anterior fixation for the management of cervical facet dislocations following closed or open reduction. Study Design: retrospective analysis of a case series. Patients and Methods: twenty-one patients (12 unilateral and 9 bilateral) with cervical facet dislocation were treated by reduction and anterior plate fixation. Results: the male to female ratio was 3.2:1. The mean age was 44 years. The commonest affected level was C5-6 (48.2%). Closed reduction by traction and open reduction were successful in 81.2% and 88.8% of attempted trials respectively. Radicular and incomplete spinal cord injuries showed better outcome than complete lesions. Solid fusion in good alignment was achieved in 20 patients while solid fusion with partial re-dislocation occurred in one patient with no further treatment required. Conclusion: anterior plate fixation alone is effective in treatment of cervical facet dislocations which can be successfully reduced either by traction or open anterior reduction. (2012ESJ029)
format article
author Ahmed Salah
Hossam Taha
author_facet Ahmed Salah
Hossam Taha
author_sort Ahmed Salah
title Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients
title_short Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients
title_full Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients
title_fullStr Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients
title_full_unstemmed Cervical Facet Dislocations. Outcome of Reduction & Anterior Plating in a Series of 21 Patients
title_sort cervical facet dislocations. outcome of reduction & anterior plating in a series of 21 patients
publisher Egyptian Spine Association
publishDate 2012
url https://doaj.org/article/412cc61a036946338d754f76b028ada8
work_keys_str_mv AT ahmedsalah cervicalfacetdislocationsoutcomeofreductionanteriorplatinginaseriesof21patients
AT hossamtaha cervicalfacetdislocationsoutcomeofreductionanteriorplatinginaseriesof21patients
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