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Cervical Traumatic Deformity (Bilateral Facet Dislocation) Complication

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Spinal Deformity

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Abstract

Traumatic bilateral facet dislocation is rare but is associated with high-grade neurological injuries. The typical mechanism is isolated hyperflexion without rotation and results in disruption of the posterior ligamentous complex but can also be accompanied by anterior longitudinal ligament disruption with grossly unstable motion segment. Closed reduction with Gardner-Wells tongs and traction is the most common first-line intervention in the United States. MRI is not needed prior to closed reduction unless the patient cannot be examined because of altered mental status or when closed reduction has failed prior to either anterior or posterior surgical procedures. Potential options and precautions to treat and prevent complications associated with inadequate resuscitation and manual reduction are described.

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Authors and Affiliations

  1. Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA

    Young M. Lee, Joseph Osorio & Sanjay Dhall

Authors
  1. Young M. Lee
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  2. Joseph Osorio
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  3. Sanjay Dhall
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Corresponding author

Correspondence to Sanjay Dhall .

Editor information

Editors and Affiliations

  1. Joan O’Reilly Endowed Professor in Spinal Surgery, Vice Chairman, Department of Neurosurgery, University of California, San Francisco, California, USA

    Praveen V. Mummaneni

  2. Professor, Director of Spinal Surgery, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA

    Paul Park

  3. University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Charles H. Crawford III

  4. Chief, Division of Spine Surgery, Associate Professor of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Adam S. Kanter

  5. Department of Orthopedic Surgery, University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Steven D. Glassman

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Lee, Y.M., Osorio, J., Dhall, S. (2018). Cervical Traumatic Deformity (Bilateral Facet Dislocation) Complication. In: Mummaneni, P., Park, P., Crawford III, C., Kanter, A., Glassman, S. (eds) Spinal Deformity . Springer, Cham. https://doi.org/10.1007/978-3-319-60083-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-60083-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60082-6

  • Online ISBN: 978-3-319-60083-3

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