Treatment of old cervical bilateral facet dislocation: Case report and literature review
Autores da FMUP
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
- Tipo:
- Review
- Páginas:
- 253-258
Neurocirugia Sociedad Espanola de Neurocirugia
Documentos
- Não há documentos
Filiações
Keywords
- Facet dislocation; Old; Combined approach; Cervical; Spine
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Citar a publicação
Cunha M,Silva PS,Pereira P,Vaz R. Treatment of old cervical bilateral facet dislocation: Case report and literature review. Neurocirugia. 2020. 31(5):p. 253-258. IF:0,553. (4).