Posterior Reduction/Fusion Followed by Anterior Decompression/Fusion of Unreduced Bilateral Facet Fracture-Dislocation in the Lower Cervical Trauma

2008 ◽  
Vol 18 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Kyung-Jin Song ◽  
Kwang-Bok Lee
Keyword(s):  
Fracture Dislocation ◽  
Anterior Decompression ◽  
Cervical Trauma ◽  
Facet Fracture

scholarly journals Arthroscopically-assisted fixation of anteromedial coronoid facet fracture and lateral ulnar collateral ligament repair for acute posteromedial rotatory fracture dislocation of the elbow

2017 ◽  
Vol 11 (5) ◽  
pp. 378-383 ◽  
Author(s):  
Abbas Rashid ◽  
David Copas ◽  
Jeremy Granville-Chapman ◽  
Adam Watts
Keyword(s):  
Articular Surface ◽  
Ulnar Collateral Ligament ◽  
Fracture Dislocation ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Coronoid Fracture ◽  
Elbow Arthroscopy ◽  
Lateral Ulnar Collateral Ligament ◽  
Arthroscopically Assisted ◽  
Facet Fracture

If left untreated, varus posteromedial rotatory injuries of the elbow result in poor functional outcomes. Surgical treatment allows restoration of elbow kinematics, minimizing the chances of chronic varus instability and early onset osteoarthritis. However, large exposures are associated with extensive soft tissue stripping, a high risk of infection, nerve injury, poor visualization of the articular surface and longer recovery. Consequently, there has been renewed interest in the use of elbow arthroscopy to circumvent these problems. Arthroscopic treatment offers the potential advantage of a swift recovery, with instant rehabilitation, less stiffness and swelling than might be expected after open repair. We present the first combined arthroscopic-assisted anteromedial facet coronoid fracture fixation and lateral ulna collateral ligament repair in a varus posteromedial rotatory injury of the elbow.

scholarly journals Chronic hypertrophic malunion of C2 Fracture causing cervical quadriparesis; Case report and focused literature review

2019 ◽  
Vol 10 ◽  
pp. 107 ◽  
Author(s):  
Sanaullah Khan Bashir ◽  
Syeda Maheen Batool ◽  
Gohar Javed
Keyword(s):  
Cervical Myelopathy ◽  
Odontoid Fracture ◽  
Type Ii ◽  
Case Description ◽  
Anterior Decompression ◽  
Cervical Trauma ◽  
Spinal Stabilization ◽  
Odontoid Fractures ◽  
Unstable Type ◽  
C2 Fracture

Background: Pseudarthrosis of Type II C2 odontoid fractures typically leads to displacement and subluxation resulting in canal compression/cervical myelopathy. Case Description: Here, we present a 43-year-old male who sustained cervical trauma 28 years ago. He now presented with an acute 10-day onset of quadriparesis attributed to a chronic malunion of an unstable type II odontoid fracture. He successfully underwent a circumferential decompression and fusion (e.g., warranting a trans-oral odontoidectomy followed by C1-C3 posterior fusion). Conclusion: Progressive cervical myelopathy attributed to a chronic malunion of a type II odontoid fracture may require circumferential decompression/stabilization (e.g., an anterior decompression with osteophyte resection and posterior C1-C3 spinal stabilization).

Facet Fracture-Dislocation Injuries of the Cervical Spine

Neurosurgery ◽  
1992 ◽  
Vol 30 (5) ◽  
pp. 661-666 ◽  
Author(s):  
Mark N. Hadley ◽  
Brian C. Fitzpatrick ◽  
Volker K. H. Sonntag ◽  
Carol M. Browner
Keyword(s):  
Cervical Spine ◽  
Fracture Dislocation ◽  
Facet Fracture

Unilateral Lumbosacral Facet Fracture-Dislocation

Spine ◽  
1991 ◽  
Vol 16 (2) ◽  
pp. 218-220 ◽  
Author(s):  
A. CARL ◽  
B. BLAIR
Keyword(s):  
Fracture Dislocation ◽  
Facet Fracture

Unilateral Cervical Facet Fracture-Dislocation

2020 ◽  
pp. 439-443
Author(s):  
Brian E. Kaufman ◽  
John A. Heydemann ◽  
Suken A. Shah
Keyword(s):  
Fracture Dislocation ◽  
Facet Fracture ◽  
Cervical Facet

Bilateral Facet to Spinous Process Fusion: A New Technique for Posterior Spinal Fusion after Trauma

Neurosurgery ◽  
1983 ◽  
Vol 13 (1) ◽  
pp. 1-4 ◽  
Author(s):  
David W. Cahill ◽  
Roberto Bellegarrigue ◽  
Thomas B. Ducker
Keyword(s):  
Spinous Process ◽  
Posterior Spinal Fusion ◽  
New Technique ◽  
Fracture Dislocation ◽  
Rotational Stability ◽  
Neural Arch ◽  
Surgical Fusion ◽  
Facet Fracture ◽  
A New Technique ◽  
Excellent Stability

Abstract A variety of options exist for the treatment of fracture/dislocation of the cervical spine, including prolonged traction immobilization, immobilization in an external device, and open surgical fusion. In cases of facet dislocation and flexion/compression injuries, the authors have found that surgical fusion is the most useful. However, in cases of facet fracture or disruption of the posterior neural arch, routine interspinous wiring techniques do not provide adequate rotational stability and may allow postsurgical redislocation before bony fusion. For these cases, a new technique using bilateral facet to spine wire loops has been developed. In the 25 cases reported here, the technique provided excellent stability against anterior horizontal displacements and rotational dislocations despite unilateral or bilateral facet fracture or disruption of the posterior neural arch.

scholarly journals Anterior-Alone Surgical Treatment for Subaxial Cervical Spine Facet Dislocation: A Systematic Review

2020 ◽  
pp. 219256822090757
Author(s):  
Wendy Lee ◽  
Chung Chek Wong
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Open Reduction ◽  
Meta Analysis ◽  
Fracture Dislocation ◽  
Facet Dislocation ◽  
Subaxial Cervical Spine ◽  
Mesh Terms ◽  
Facet Fracture ◽  
Cervical Facet

Study Design: Systematic review. Objective: Anterior-alone surgery has gained wider reception for subaxial cervical spine facets dislocation. Questions remain on its efficacy and safety as a stand-alone entity within the contexts of concurrent facet fractures, unilateral versus bilateral dislocations, anterior open reduction, and old dislocation. Methods: A systematic review was performed with search strategy using translatable MESH terms across MEDLINE, EMBASE, VHL Regional Portal, and CENTRAL databases on patients with subaxial cervical dislocation intervened via anterior-alone approach. Two reviewers independently screened for eligible studies. PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) flow chart was adhered to. Nine retrospective studies were included. Narrative synthesis was performed to determine primary outcomes on spinal fusion and revisions and secondary outcomes on new occurrence or deterioration of neurology and infection rate. Results: Nonunion was not encountered across all contexts. A total of 0.86% of unilateral facet dislocation (1 out of 116) with inadequate reduction due to facet fragments between the facet joints removed its malpositioned plate following fusion. No new neurological deficit was observed. Cases that underwent anterior open reduction did not encounter failure that require subsequent posterior reduction surgery. One study (N = 52) on old dislocation incorporated partial corpectomy in their approach and limited anterior-alone approach to cases with persistent instability. Conclusions: This systematic review supports the efficacy and success of anterior reduction, fusion, and instrumentation for cervical facet fracture dislocation. It is safe from a neurological standpoint. Revision rate due to concurrent facet fracture is low. Certain patients may require posteriorly based surgery or in specific cases combined anterior and posterior procedures.

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