Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches?
ABSTRACT Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD), but there is uncertainty over which approach is better: anterior, posterior or combined. We performed a systematic literature review to evaluate the indications for anterior and posterio...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000900745&lng=en&tlng=en |
| _version_ | 1811192561500422144 |
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| author | Catarina C. Lins Diego T. Prado Andrei F. Joaquim |
| author_facet | Catarina C. Lins Diego T. Prado Andrei F. Joaquim |
| author_sort | Catarina C. Lins |
| collection | DOAJ |
| description | ABSTRACT Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD), but there is uncertainty over which approach is better: anterior, posterior or combined. We performed a systematic literature review to evaluate the indications for anterior and posterior approaches in the management of CFD. Anterior approaches can restore cervical lordosis, and cause less postoperative pain and less wound problems. Posterior approaches are useful for direct reduction of locked facet joints and provide stronger fixation from a biomechanical point of view. Combined approaches can be used in more complex cases. Although both anterior and posterior approaches can be used interchangeably, there are some patients who may benefit from one of them over the other, as discussed in this review. Surgeons who treat cervical spine trauma should be able to perform both procedures as well as combined approaches to adequately manage CFD and improve patients’ final outcomes. |
| first_indexed | 2024-04-11T23:55:44Z |
| format | Article |
| id | doaj.art-f212d15e24e74f3fbc22e8f2f54a2f24 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-11T23:55:44Z |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-f212d15e24e74f3fbc22e8f2f54a2f242022-12-22T03:56:23ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422774974574910.1590/0004-282X20160078S0004-282X2016000900745Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches?Catarina C. LinsDiego T. PradoAndrei F. JoaquimABSTRACT Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD), but there is uncertainty over which approach is better: anterior, posterior or combined. We performed a systematic literature review to evaluate the indications for anterior and posterior approaches in the management of CFD. Anterior approaches can restore cervical lordosis, and cause less postoperative pain and less wound problems. Posterior approaches are useful for direct reduction of locked facet joints and provide stronger fixation from a biomechanical point of view. Combined approaches can be used in more complex cases. Although both anterior and posterior approaches can be used interchangeably, there are some patients who may benefit from one of them over the other, as discussed in this review. Surgeons who treat cervical spine trauma should be able to perform both procedures as well as combined approaches to adequately manage CFD and improve patients’ final outcomes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000900745&lng=en&tlng=enspinedislocationsbones fracturessurgery |
| spellingShingle | Catarina C. Lins Diego T. Prado Andrei F. Joaquim Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches? Arquivos de Neuro-Psiquiatria spine dislocations bones fractures surgery |
| title | Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches? |
| title_full | Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches? |
| title_fullStr | Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches? |
| title_full_unstemmed | Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches? |
| title_short | Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches? |
| title_sort | surgical treatment of traumatic cervical facet dislocation anterior posterior or combined approaches |
| topic | spine dislocations bones fractures surgery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000900745&lng=en&tlng=en |
| work_keys_str_mv | AT catarinaclins surgicaltreatmentoftraumaticcervicalfacetdislocationanteriorposteriororcombinedapproaches AT diegotprado surgicaltreatmentoftraumaticcervicalfacetdislocationanteriorposteriororcombinedapproaches AT andreifjoaquim surgicaltreatmentoftraumaticcervicalfacetdislocationanteriorposteriororcombinedapproaches |