Surgery for Locked Cervical Facets: A Technical Note

Abstract Cervical facet dislocations represent a severe form of cervical spine injury and can be present unilaterally or bilaterally. They are invariably associated with neurological compromise, with complete spinal cord injury seen in 65 to 87% and the incomplete injury seen in 13 to 25% of the cas...

Full description

Bibliographic Details
Main Authors: Sumit Sinha, Shashank S. Kale
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2016-08-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1586740
_version_ 1818495248429481984
author Sumit Sinha
Shashank S. Kale
author_facet Sumit Sinha
Shashank S. Kale
author_sort Sumit Sinha
collection DOAJ
description Abstract Cervical facet dislocations represent a severe form of cervical spine injury and can be present unilaterally or bilaterally. They are invariably associated with neurological compromise, with complete spinal cord injury seen in 65 to 87% and the incomplete injury seen in 13 to 25% of the cases. The facet dislocations represent hyperflexion–distraction injuries and are classified as type B in the AO classification system. These are unstable injuries and necessitate some form of surgical stabilization. A variety of surgical procedures can be performed to effect the reduction of the locked facets which can be performed anteriorly, posteriorly, and by combined approaches. The article focuses on the indications, contraindications, and on the surgical management and the techniques used in the reduction of unilateral or bilateral locked facets.
first_indexed 2024-12-10T18:17:58Z
format Article
id doaj.art-eb18f69295a8439d8429f4eddef2ccd0
institution Directory Open Access Journal
issn 2277-954X
2277-9167
language English
last_indexed 2024-12-10T18:17:58Z
publishDate 2016-08-01
publisher Thieme Medical Publishers, Inc.
record_format Article
series Indian Journal of Neurosurgery
spelling doaj.art-eb18f69295a8439d8429f4eddef2ccd02022-12-22T01:38:17ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672016-08-01050212412810.1055/s-0036-1586740Surgery for Locked Cervical Facets: A Technical NoteSumit Sinha0Shashank S. Kale1Department of Neurosurgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaDepartment of Neurosurgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaAbstract Cervical facet dislocations represent a severe form of cervical spine injury and can be present unilaterally or bilaterally. They are invariably associated with neurological compromise, with complete spinal cord injury seen in 65 to 87% and the incomplete injury seen in 13 to 25% of the cases. The facet dislocations represent hyperflexion–distraction injuries and are classified as type B in the AO classification system. These are unstable injuries and necessitate some form of surgical stabilization. A variety of surgical procedures can be performed to effect the reduction of the locked facets which can be performed anteriorly, posteriorly, and by combined approaches. The article focuses on the indications, contraindications, and on the surgical management and the techniques used in the reduction of unilateral or bilateral locked facets.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1586740fracturefacettreatmentinjury
spellingShingle Sumit Sinha
Shashank S. Kale
Surgery for Locked Cervical Facets: A Technical Note
Indian Journal of Neurosurgery
fracture
facet
treatment
injury
title Surgery for Locked Cervical Facets: A Technical Note
title_full Surgery for Locked Cervical Facets: A Technical Note
title_fullStr Surgery for Locked Cervical Facets: A Technical Note
title_full_unstemmed Surgery for Locked Cervical Facets: A Technical Note
title_short Surgery for Locked Cervical Facets: A Technical Note
title_sort surgery for locked cervical facets a technical note
topic fracture
facet
treatment
injury
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1586740
work_keys_str_mv AT sumitsinha surgeryforlockedcervicalfacetsatechnicalnote
AT shashankskale surgeryforlockedcervicalfacetsatechnicalnote