Treatment of old cervical bilateral facet dislocation: Case report and literature review

• Type: Another Publication in an International Scientific Journal
• Date: 2020

Authors

Cunha, M (Author) Other; Silva, PS (Author) FMUP; Paulo Pereira (Author) FMUP; Vaz, R (Author) Other

Journal

Title: Neurocirugia

ISSN: 1130-1473

Publisher: Sociedad Espanola de Neurocirugia

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00R-921

DOI: 10.1016/j.neucir.2019.07.005

Abstract (EN): Late diagnosis of cervical bilateral facet dislocation is rare and contributes to concerns in the management of these patients. We present a case of a 44-year-old woman presented 8 months after a trauma with persistent neck pain, without neurological deficits. A bilateral C5-C6 facet dislocation was identified. The patient was treated with a combined C5-C6 approach: posterior facet joints release, anterior discectomy and fusion, bilateral posterior fixation. Surgery was performed under intraoperative neurophysiological monitoring. The postoperative period was uneventful, and the patient presented functional improvement. Late surgical treatment of bilateral cervical facet dislocation is safe and feasible. Combined procedures are needed for proper reduction and stabilization of the spine. Intraoperative neurophysiological monitoring adds value to this technique contributing to good outcomes.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 6