Unilateral Facet Dislocation of the Cervical SpineAn Analysis of the Results of Treatment in 26 Patients
作者:
C H RORABECK,
M G ROCK,
R J HAWKINS,
R B BOURNE,
期刊:
Spine
(OVID Available online 1987)
卷期:
Volume 12,
issue 1
页码: 23-27
ISSN:0362-2436
年代: 1987
出版商: OVID
关键词: cervical spine;unilateral facet dislocation;halo traction;surgery;complications
数据来源: OVID
摘要:
Twenty-six patients with unilateral facet dislocation of the cervical spine were analyzed to determine the best method of treatment of this injury, the incidence of late pain and instability, and the indications for surgical stabilization. This review showed that all patients with a unilateral facet dislocation of the cervical spine should be treated initially with halo traction in an attempt to obtain reduction. If reduction is obtained, then nonoperative treatment in the form of a halo thoracic apparatus may be the best method of treatment. Failure to obtain reduction with axial traction is an indication for open reduction and one-level posterior cervical fusion. Patients left in the displaced position and allowed to heal in that position usually develop late pain as a complication of this method of treatment.
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