Cervical Facet Block | ScienceGate

Acute cervical facet fractures are increasingly being detected due to the use of cervical spine CT imaging in the initial assessment of trauma patients. For displaced cervical facet fractures with dislocations and subluxations, early surgery can decompress the spinal cord and stabilize the spine. For patients with non-displaced cervical facet fractures, the challenge in managing these patients is the determination of spinal stability. Although many of the patients with non-displaced cervical facet fractures can be managed with a cervical collar, the imaging needs to be analyzed carefully since certain fracture patterns may be better managed with early surgical stabilization.

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Persistent hiccups after cervical facet dexamethasone injections

Minerva Anestesiologica ◽

10.23736/s0375-9393.19.13802-3 ◽

2019 ◽

Vol 85 (11) ◽

Author(s):

Emanuele Piraccini ◽

Vinicio Dima ◽

Stefano Maitan

Keyword(s):

Cervical Facet

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Accuracy and reliability of the AO Spine subaxial cervical spine classification system grading subaxial cervical facet injury morphology

European Spine Journal ◽

10.1007/s00586-021-06837-w ◽

2021 ◽

Author(s):

Juan P. Cabrera ◽

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Ratko Yurac ◽

Alfredo Guiroy ◽

Andrei F. Joaquim ◽

...

Keyword(s):

Cervical Spine ◽

Classification System ◽

Subaxial Cervical Spine ◽

Cervical Facet

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Tropism of Sub-Axial Cervical Facet Joints Is Not Related to Segmental Movement during Active Movement or Therapist-Perceived Symptomatic Locations

Symmetry ◽

10.3390/sym13050739 ◽

2021 ◽

Vol 13 (5) ◽

pp. 739

Author(s):

Neil Tuttle ◽

Kerrie Evans ◽

Clarice Sperotto dos Santos Rocha

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Active Movement ◽

Facet Joints ◽

Segmental Mobility ◽

Limited Mobility ◽

Translational Movement ◽

The Difference ◽

Cervical Facet ◽

The Relationship

Tropism, or asymmetry, of facet joints in the cervical spine has been found to be related to degenerative changes of the joints and discs. Clinicians often assume that differences in segmental mobility are related to tropism. The aims of this study were to determine the relationship between asymmetry of facet joints in the sub-axial cervical spine and (1) segmental mobility and (2) spinal levels perceived by therapists to have limited mobility. Eighteen participants with idiopathic neck pain had MRIs of their cervical spine in neutral and at the end of active rotation. Angular movement and translational movement of each motion segment was calculated from 3D segmentations of the vertebrae. A plane was fitted to the facet on each side. Tropism was considered to be the difference in the orientation of the facet planes and ranged from 1 to 30° with a median of 7.7°. No relationships were found between the extent of tropism and either segmental movement or locations deemed to be symptomatic. Tropism in the sub-axial cervical spine does not appear to be related to segmental mobility in rotation or to levels deemed to be symptomatic.

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