Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking

Lower cervical dislocation with facet interlocking is one of the most drastic injuries to the cervical spine. The early reduction is thought critical in preventing progressive secondary spinal cord injury. The authors report a new surgical procedure in the management of lower cervical dislocation wi...

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Autores principales: Li, Yuwei, Zhou, Peng, Cui, Wei, Li, Cheng, Xiao, Wei, Wen, Yan, Wang, Haoran, Wang, Haijiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362197/
https://www.ncbi.nlm.nih.gov/pubmed/30718730
http://dx.doi.org/10.1038/s41598-018-37742-w
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author Li, Yuwei
Zhou, Peng
Cui, Wei
Li, Cheng
Xiao, Wei
Wen, Yan
Wang, Haoran
Wang, Haijiao
author_facet Li, Yuwei
Zhou, Peng
Cui, Wei
Li, Cheng
Xiao, Wei
Wen, Yan
Wang, Haoran
Wang, Haijiao
author_sort Li, Yuwei
collection PubMed
description Lower cervical dislocation with facet interlocking is one of the most drastic injuries to the cervical spine. The early reduction is thought critical in preventing progressive secondary spinal cord injury. The authors report a new surgical procedure in the management of lower cervical dislocation with facet interlocking. A total of twenty-one cases received immediate single-staged anterior open reduction, realignment and plate fixation under general anesthesia. After the procedures, most cases exhibited improved neurological function. All patients showed stable fusion at 1-year follow-up. Loss of spinal alignment or kyphotic deformity was not found in any case. Hardware failure including screw loosening or penetrating was not observed. In conclusion, the immediate anterior open reduction and plate fixation is a safe and effective procedure in the management of lower cervical dislocation with facet interlocking.
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spelling pubmed-63621972019-02-06 Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking Li, Yuwei Zhou, Peng Cui, Wei Li, Cheng Xiao, Wei Wen, Yan Wang, Haoran Wang, Haijiao Sci Rep Article Lower cervical dislocation with facet interlocking is one of the most drastic injuries to the cervical spine. The early reduction is thought critical in preventing progressive secondary spinal cord injury. The authors report a new surgical procedure in the management of lower cervical dislocation with facet interlocking. A total of twenty-one cases received immediate single-staged anterior open reduction, realignment and plate fixation under general anesthesia. After the procedures, most cases exhibited improved neurological function. All patients showed stable fusion at 1-year follow-up. Loss of spinal alignment or kyphotic deformity was not found in any case. Hardware failure including screw loosening or penetrating was not observed. In conclusion, the immediate anterior open reduction and plate fixation is a safe and effective procedure in the management of lower cervical dislocation with facet interlocking. Nature Publishing Group UK 2019-02-04 /pmc/articles/PMC6362197/ /pubmed/30718730 http://dx.doi.org/10.1038/s41598-018-37742-w Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Li, Yuwei
Zhou, Peng
Cui, Wei
Li, Cheng
Xiao, Wei
Wen, Yan
Wang, Haoran
Wang, Haijiao
Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
title Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
title_full Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
title_fullStr Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
title_full_unstemmed Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
title_short Immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
title_sort immediate anterior open reduction and plate fixation in the management of lower cervical dislocation with facet interlocking
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362197/
https://www.ncbi.nlm.nih.gov/pubmed/30718730
http://dx.doi.org/10.1038/s41598-018-37742-w
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