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

Data de publicação:

Autores da FMUP

  • Pedro Santos Silva

    Autor

  • Paulo Miguel Da Silva Pereira

    Autor

Participantes de fora da FMUP

  • Cunha, M
  • Vaz, R

Unidades de investigação

Abstract

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. (C) 2019 Sociedad Espanola de Neurocirugia. Published by Elsevier Espana, S.L.U. All rights reserved.

Dados da publicação

ISSN/ISSNe:
2340-6305, 1130-1473

Neurocirugia  Sociedad Espanola de Neurocirugia

Tipo:
Review
Páginas:
253-258

Documentos

  • Não há documentos

Métricas

Filiações mostrar / ocultar

Keywords

  • Facet dislocation; Old; Combined approach; Cervical; Spine

Proyectos asociados

Association between patient’s expectations and real outcomes for degenerative spine surgery.

Investigador Principal: Pedro Santos Silva

Estudo Clínico Académico (Spine Surgery) . 2020

Correlation between clinical outcomes and spinopelvic parameters in patients with lumbar stenosis undergoing decompression surgery

Investigador Principal: Paulo Miguel da Silva Pereira

Estudo Clínico Académico (Lumbar stenosis) . 2020

Are Spinopelvic Parameters predictive of low back pain 8 years later in an asymptomatic population?

Investigador Principal: Paulo Miguel da Silva Pereira

Estudo Clínico Académico (Spinopelvic) . 2020

Does sagittal alignment influence outcome for patients who undergo anterior cervical fusion for degenerative pathologies?

Investigador Principal: Paulo Miguel da Silva Pereira

Estudo Clínico Académico . 2020

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