Facet fracture-dislocation injuries of the cervical spine
Sixty-eight patients with acute traumatic cervical facet fracture-dislocation injuries are presented. These patients represented 6.7% of all cervical spine fractures identified over a 12-year period. Thirty-one patients had unilateral facet injuries and 37 had bilateral facet injuries. Neurological...
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| Veröffentlicht in: | Neurosurgery 1992-05, Vol.30 (5), p.661-666 |
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| creator | Hadley, M N Fitzpatrick, B C Sonntag, V K Browner, C M |
| description | Sixty-eight patients with acute traumatic cervical facet fracture-dislocation injuries are presented. These patients represented 6.7% of all cervical spine fractures identified over a 12-year period. Thirty-one patients had unilateral facet injuries and 37 had bilateral facet injuries. Neurological morbidity was 90% and was most severe among bilateral facet injury patients (84% complete injuries). Spinal shock was identified in 13 patients and was a poor prognostic indicator for the subsequent recovery of associated neurological deficits. Closed reduction was attempted in 66 of 68 patients and was successful in 58% of the patients. Seven patients deteriorated. Open reduction-internal fixation was successful in 83% of 24 patients with a 4% morbidity. Seventy-eight percent of patients improved with rapid closed reduction, and 60% improved with open reduction-internal fixation; however, only 10 patients of the entire 68 made significant neurological recoveries. In these 10 patients, the timing of decompression-realignment appeared to be more important than the means of reduction. |
| doi_str_mv | 10.1097/00006123-199205000-00001 |
| format | Article |
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These patients represented 6.7% of all cervical spine fractures identified over a 12-year period. Thirty-one patients had unilateral facet injuries and 37 had bilateral facet injuries. Neurological morbidity was 90% and was most severe among bilateral facet injury patients (84% complete injuries). Spinal shock was identified in 13 patients and was a poor prognostic indicator for the subsequent recovery of associated neurological deficits. Closed reduction was attempted in 66 of 68 patients and was successful in 58% of the patients. Seven patients deteriorated. Open reduction-internal fixation was successful in 83% of 24 patients with a 4% morbidity. Seventy-eight percent of patients improved with rapid closed reduction, and 60% improved with open reduction-internal fixation; however, only 10 patients of the entire 68 made significant neurological recoveries. In these 10 patients, the timing of decompression-realignment appeared to be more important than the means of reduction.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1097/00006123-199205000-00001</identifier><identifier>PMID: 1584374</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Cervical Vertebrae - injuries ; Female ; Follow-Up Studies ; Fracture Fixation, Internal ; Humans ; Joint Dislocations - complications ; Joint Dislocations - diagnosis ; Joint Dislocations - therapy ; Male ; Manipulation, Orthopedic ; Middle Aged ; Multiple Trauma - mortality ; Nervous System Diseases - etiology ; Spinal Fractures - complications ; Spinal Fractures - diagnosis ; Spinal Fractures - mortality ; Spinal Fractures - therapy ; Survival Rate ; Traction ; Treatment Outcome</subject><ispartof>Neurosurgery, 1992-05, Vol.30 (5), p.661-666</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-4088e7de497d9cbdc2e8dcfe73a6e1ee640b4b19367fc76c250e10f00c5954293</citedby><cites>FETCH-LOGICAL-c339t-4088e7de497d9cbdc2e8dcfe73a6e1ee640b4b19367fc76c250e10f00c5954293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1584374$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hadley, M N</creatorcontrib><creatorcontrib>Fitzpatrick, B C</creatorcontrib><creatorcontrib>Sonntag, V K</creatorcontrib><creatorcontrib>Browner, C M</creatorcontrib><title>Facet fracture-dislocation injuries of the cervical spine</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Sixty-eight patients with acute traumatic cervical facet fracture-dislocation injuries are presented. These patients represented 6.7% of all cervical spine fractures identified over a 12-year period. Thirty-one patients had unilateral facet injuries and 37 had bilateral facet injuries. Neurological morbidity was 90% and was most severe among bilateral facet injury patients (84% complete injuries). Spinal shock was identified in 13 patients and was a poor prognostic indicator for the subsequent recovery of associated neurological deficits. Closed reduction was attempted in 66 of 68 patients and was successful in 58% of the patients. Seven patients deteriorated. Open reduction-internal fixation was successful in 83% of 24 patients with a 4% morbidity. Seventy-eight percent of patients improved with rapid closed reduction, and 60% improved with open reduction-internal fixation; however, only 10 patients of the entire 68 made significant neurological recoveries. In these 10 patients, the timing of decompression-realignment appeared to be more important than the means of reduction.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cervical Vertebrae - injuries</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal</subject><subject>Humans</subject><subject>Joint Dislocations - complications</subject><subject>Joint Dislocations - diagnosis</subject><subject>Joint Dislocations - therapy</subject><subject>Male</subject><subject>Manipulation, Orthopedic</subject><subject>Middle Aged</subject><subject>Multiple Trauma - mortality</subject><subject>Nervous System Diseases - etiology</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - diagnosis</subject><subject>Spinal Fractures - mortality</subject><subject>Spinal Fractures - therapy</subject><subject>Survival Rate</subject><subject>Traction</subject><subject>Treatment Outcome</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFtLAzEQhYMotVZ_grBPvkVzvzxKsSoUfFHwLWSzE0zZ7tZkV_Dfu7Ve5mWYwzkzw4dQRck1JVbfkKkUZRxTaxmR04T3Ej1CcyqZwIIIcozmhAqDuVWvp-islM1kUEKbGZpRaQTXYo7sygcYqph9GMYMuEml7YMfUt9VqduMOUGp-lgNb1AFyB8p-LYqu9TBOTqJvi1w8dMX6GV197x8wOun-8fl7RoHzu0wfWIM6AaE1Y0NdRMYmCZE0NwroABKkFrU1HKlY9AqMEmAkkhIkFYKZvkCXR327nL_PkIZ3DaVAG3rO-jH4jSziktGJqM5GEPuS8kQ3S6nrc-fjhK3p-Z-qbk_at8SnaKXPzfGegvNf_CAiX8BTGdnZw</recordid><startdate>19920501</startdate><enddate>19920501</enddate><creator>Hadley, M N</creator><creator>Fitzpatrick, B C</creator><creator>Sonntag, V K</creator><creator>Browner, C M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920501</creationdate><title>Facet fracture-dislocation injuries of the cervical spine</title><author>Hadley, M N ; Fitzpatrick, B C ; Sonntag, V K ; Browner, C M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-4088e7de497d9cbdc2e8dcfe73a6e1ee640b4b19367fc76c250e10f00c5954293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cervical Vertebrae - injuries</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal</topic><topic>Humans</topic><topic>Joint Dislocations - complications</topic><topic>Joint Dislocations - diagnosis</topic><topic>Joint Dislocations - therapy</topic><topic>Male</topic><topic>Manipulation, Orthopedic</topic><topic>Middle Aged</topic><topic>Multiple Trauma - mortality</topic><topic>Nervous System Diseases - etiology</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - diagnosis</topic><topic>Spinal Fractures - mortality</topic><topic>Spinal Fractures - therapy</topic><topic>Survival Rate</topic><topic>Traction</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hadley, M N</creatorcontrib><creatorcontrib>Fitzpatrick, B C</creatorcontrib><creatorcontrib>Sonntag, V K</creatorcontrib><creatorcontrib>Browner, C M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hadley, M N</au><au>Fitzpatrick, B C</au><au>Sonntag, V K</au><au>Browner, C M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Facet fracture-dislocation injuries of the cervical spine</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1992-05-01</date><risdate>1992</risdate><volume>30</volume><issue>5</issue><spage>661</spage><epage>666</epage><pages>661-666</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>Sixty-eight patients with acute traumatic cervical facet fracture-dislocation injuries are presented. These patients represented 6.7% of all cervical spine fractures identified over a 12-year period. Thirty-one patients had unilateral facet injuries and 37 had bilateral facet injuries. Neurological morbidity was 90% and was most severe among bilateral facet injury patients (84% complete injuries). Spinal shock was identified in 13 patients and was a poor prognostic indicator for the subsequent recovery of associated neurological deficits. Closed reduction was attempted in 66 of 68 patients and was successful in 58% of the patients. Seven patients deteriorated. Open reduction-internal fixation was successful in 83% of 24 patients with a 4% morbidity. Seventy-eight percent of patients improved with rapid closed reduction, and 60% improved with open reduction-internal fixation; however, only 10 patients of the entire 68 made significant neurological recoveries. In these 10 patients, the timing of decompression-realignment appeared to be more important than the means of reduction.</abstract><cop>United States</cop><pmid>1584374</pmid><doi>10.1097/00006123-199205000-00001</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0148-396X |
| ispartof | Neurosurgery, 1992-05, Vol.30 (5), p.661-666 |
| issn | 0148-396X 1524-4040 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Cervical Vertebrae - injuries Female Follow-Up Studies Fracture Fixation, Internal Humans Joint Dislocations - complications Joint Dislocations - diagnosis Joint Dislocations - therapy Male Manipulation, Orthopedic Middle Aged Multiple Trauma - mortality Nervous System Diseases - etiology Spinal Fractures - complications Spinal Fractures - diagnosis Spinal Fractures - mortality Spinal Fractures - therapy Survival Rate Traction Treatment Outcome |
| title | Facet fracture-dislocation injuries of the cervical spine |
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