Comparison of a novel anterior-only approach and the conventional posterior–anterior approach for cervical facet dislocation: a retrospective study

2019 ◽  
Vol 28 (10) ◽  
pp. 2380-2389 ◽  
Author(s):  
Ke Liu ◽  
Zhengfeng Zhang
2002 ◽  
Vol 97 (3) ◽  
pp. 362-365 ◽  
Author(s):  
Ronald H. M. A. Bartels ◽  
Roland Donk

✓ Postinjury cervical spine instability typically requires surgical treatment in the acute or semiacute stage. The authors, however, report on three patients with older (> 8 weeks) untreated bilateral cervical facet dislocation. In two patients they attempted a classic anterior-posterior-anterior approach but failed. The misalignment in the second stage of the procedure could not be corrected, and they had to add a fourth, posterior, stage. To avoid the fourth stage, thereby reducing operating time and risk of neurological damage while turning the patient, they propose the following sequence: 1) a posterior approach to perform a complete facetectomy bilaterally with no attempt to reduce the dislocation; 2) an anterior microscopic discectomy with reduction of the dislocation and anterior fixation; and 3) posterior fixation. This sequence of procedures was successfully performed in the third patient. Based on this experience, they suggest that in cases of nonacute bilateral cervical facet dislocations the operating sequence should be posterior-anterior-posterior.


Spine ◽  
2014 ◽  
Vol 39 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Wei Du ◽  
Cheng Wang ◽  
Jiangwei Tan ◽  
Binghua Shen ◽  
Shuqin Ni ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Islam Mubark ◽  
Amr Abouelela ◽  
Mohammed Hassan ◽  
Ahmed Genena ◽  
Neil Ashwood

Orthopedics ◽  
2004 ◽  
Vol 27 (12) ◽  
pp. 1297-1298
Author(s):  
Seok Woo Kim ◽  
John M Ciccarelli ◽  
Ira L Fedder

Author(s):  
Stephen A. Parada ◽  
Edward D. Arrington ◽  
Kurtis L. Kowalski ◽  
Robert W. Molinari

2019 ◽  
Vol 18 (2) ◽  
pp. 154-157
Author(s):  
Xavier Soler I Graells ◽  
Alynson Larocca Kulcheski ◽  
Eduardo Teston Bondan ◽  
Marcel Luiz Benato ◽  
Pedro Grain del Santoro

ABSTRACT Objectives: Spondylodiscitis is a rare, late diagnosis disease. In view of the morbidity and mortality associated to the delayed diagnosis and increase of the cases in the last years, this study was carried out in order to evaluate the operated cases and improve the management of these patients.. Methods: Retrospective longitudinal study involving 1440 patients submitted to a surgical procedure in the thoracolumbar spine from January 2015 to March 2017, including 49 cases operated by spondylodiscitis. Results: Results: Severe complications requiring ICU admission (pulmonary or urinary tract sepsis and DVT) were observed in 7 (8.5%) individuals, whose mean hospital stay was 35 days (10-170 days) [p=0.006]. Conclusions: Conclusion: A correlation between the number of days hospitalized and the increase in the rate of complications was found. Early surgery by the anterior approach and posterior fixation after 2 weeks is the treatment of choice, with low morbidity and short period of hospitalization. Level of Evidence III; Retrospective Study.


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