Abstract
A 45-year-old woman, a restrained passenger, was involved in a rollover motor vehicle crash. She was taken to the closest hospital and diagnosed with a severe neck injury and transferred to a tertiary referral center. She had a sensory level at C6 with 4/5 strength in biceps and deltoid only. She also had a flicker of wrist extension on the right. There was no motor or sensory function below C6 in her bilateral upper or lower extremities. Initial CT scan, and model representation is shown in (Fig. 12.1).
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References
Beyer CA, Cabanela ME, Berquist TH (1991) Unilateral facet dislocations and fracture-dislocations of the cervical spine. J Bone Joint Surg Br 73(6):977–981
Carrino JA, Manton GL, Morrison WB, Vaccaro AR, Schweitzer ME, Flanders AE (2006) Posterior longitudinal ligament status in cervical spine bilateral facet dislocations. Skeletal Radiol 35(7):510–514
Duggal N, Chamberlain RH, Park SC, Sonntag VK, Dickman CA, Crawford NR (2005) Unilateral cervical facet dislocation: biomechanics of fixation. Spine 30(7):E164–E168
Fazl M, Pirouzmand F (2001) Intraoperative reduction of locked facets in the cervical spine by use of a modified interlaminar spreader: technical note. Neurosurgery 48(2):444–445; discussion 445–446
Grant GA, Mirza SK, Chapman JR, Winn HR, Newell DW, Jones DT, Grady MS (1999) Risk of early closed reduction in cervical spine subluxation injuries. J Neurosurg 90(1 suppl):13–18
Johnson MG, Fisher CG, Boyd M, Pitzen T, Oxland TR, Dvorak MF (2004) The radiographic failure of single segment anterior cervical plate fixation in traumatic cervical flexion distraction injuries. Spine 29(24):2815–2820
Nassr A, Lee JY, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R, Grauer JN, Winegar C, Vaccaro AR (2008) Variations in surgical treatment of cervical facet dislocations. Spine 33(7):E188–E193
Rabb CH, Lopez J, Beauchamp K, Witt P, Bolles G, Dwyer A (2007) Unilateral cervical facet fractures with subluxation: injury patterns and treatment. J Spinal Disord Tech 20(6):416–422
Shapiro SA (1993) Management of unilateral locked facet of the cervical spine. Neurosurgery 33(5):832–837; discussion 837
Shapiro S, Snyder W, Kaufman K, Abel T (1999) Outcome of 51 cases of unilateral locked cervical facets: interspinous braided cable for lateral mass plate fusion compared with interspinous wire and facet wiring with iliac crest. J Neurosurg 91(1 suppl):19–24
Sim E, Vaccaro AR, Berzlanovich A, Schwarz N, Sim B (2001) In vitro genesis of subaxial cervical unilateral facet dislocations through sequential soft tissue ablation. Spine 26(12):1317–1323
Vaccaro AR, Madigan L, Schweitzer ME, Flanders AE, Hilibrand AS, Albert TJ (2001) Magnetic resonance imaging analysis of soft tissue disruption after flexion-distraction injuries of the subaxial cervical spine. Spine 26(17):1866–1872
Wolf A, Levi L, Mirvis S, Ragheb J, Huhn S, Rigamonti D, Robinson L (1991) Operative management of bilateral facet dislocation. J Neurosurg 75(6):883–890
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Klineberg, E., Gupta, M. (2010). Cervical Open Posterior Reduction of Facet Dislocation. In: Patel, V., Burger, E., Brown, C. (eds) Spine Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03694-1_12
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DOI: https://doi.org/10.1007/978-3-642-03694-1_12
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