Article Figures & Data
Figures
- Figure 1
Closed reduction based solely on cranial manual traction without weights. (A) Neutral position; (B) flexion position; (C) neck flexion and rotation.
- Figure 2
Unilateral C3-C4 facet dislocation managed with closed reduction by cranial traction, followed by anterior cervical discectomy and fusion. (A) Sagittal sequence of the cervical CT showing left facet joint dislocation and fracture; (B) radiograph showing 50% anterior subluxation of C3 on C4; (C) radiograph showing the closed reduction with cranial traction; (D) radiograph taken 2 y after the surgery demonstrating a good cervical alignment and a complete incorporation of the allograft with the C3 and C4 vertebral bodies.
- Figure 3
Bilateral C7-D1 facet dislocation treatment failure and revision surgery. (A) Central sagittal sequence of the cervical CT showing 50% anterior subluxation of C7 on T1; (B) Lateral sagittal sequence of the cervical CT showing facet joint dislocation; (C) CT showing anterior cervical discectomy and fusion (ACDF) on the immediate postop; (D) CT showing failure of the treatment with screw pullout and a new subluxation of the vertebral bodies; (E) CT 3-dimensional reconstruction of the 360° fusion revision surgery with a new C7-T1 ACDF and C6-C7-T1-T2 posterior fixation.
Tables
Parameter Finding Age, y, mean ± SD (range) 56 ± 18 (18–90) Gender, male, n (%) 51 (73%) Bilateral facet dislocation, n 24 Unilateral facet dislocation, n 46 Facet fractures, n (%) 48 (69%) Vertebral body fractures, n (%) 13 (19%) Rigid spines, n 3 Closed reduction attempted, n 59 (70%) Closed reduction success % (n/N) 88% (52/59) Follow-up, y, mean (range) 6.97 (1.5–12.5) Failures needing revision, n (%) 3 (4%) Level C3-C4 3 C4-C5 4 C5-C6 22 C6-C7 35 C7-T1 6 ASIA A 9 B 2 C 5 D 9 E 45 Radiculopathy (in ASIA type E), n (%) 11 (45) ASIA, American Spinal Injury Association Impairment Scale.
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