Management of Neglected Post-traumatic Bilateral Facet Dislocation of Sub-axial Cervical Spine: A Case Series

  • Rudra Prasad Marasini Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal.
Keywords: decompression; neurology; spinal injuries.

Abstract

Neglected bilateral facet dislocation of the lower cervical spine is a rare condition and found mostly
in developing countries like Nepal. Delayed presentation makes treatment more challenging
concerning decompression, reduction, neurological recovery, and overall outcome. We managed
three cases of bilateral facet dislocations of the fifth-sixth-seventh cervical vertebra level presented
after three months of injury. All of those were treated surgically by combined anterior-posterioranterior approaches with the same principle. One patient had a complete neurological recovery, the
second one recovered partially with few long-term complications and the third one did not improve
at all.

Published
2020-06-30
How to Cite
Marasini, R. P. (2020). Management of Neglected Post-traumatic Bilateral Facet Dislocation of Sub-axial Cervical Spine: A Case Series. Journal of Nepal Medical Association, 58(226). https://doi.org/10.31729/jnma.4912