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...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-08-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1586740 |
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| 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. |
| format | Article |
| id | doaj-art-eb18f69295a8439d8429f4eddef2ccd0 |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2016-08-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-eb18f69295a8439d8429f4eddef2ccd02025-08-20T03:21:16ZengThieme Medical and Scientific Publishers Pvt. Ltd.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 |