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Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion

Fused motion segments have been documented to alter the biomechanics of the cervical spine and compromise its stability. Current literature describes a growing association between the presence of prior noninstrumented fused cervical segments and the predisposition to acute, traumatic instability at...

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Detalles Bibliográficos
Autores principales: Munim, Mohammed A., Njoku, Innocent U., Cheng, Christina W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8265868/
https://www.ncbi.nlm.nih.gov/pubmed/34232952
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00067
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author Munim, Mohammed A.
Njoku, Innocent U.
Cheng, Christina W.
author_facet Munim, Mohammed A.
Njoku, Innocent U.
Cheng, Christina W.
author_sort Munim, Mohammed A.
collection PubMed
description Fused motion segments have been documented to alter the biomechanics of the cervical spine and compromise its stability. Current literature describes a growing association between the presence of prior noninstrumented fused cervical segments and the predisposition to acute, traumatic instability at adjacent levels. We present the case of a stable cervical spine fracture pattern in a patient with a history of multilevel noninstrumented anterior cervical spine fusion—initially presenting as a small, nondisplaced unilateral facet fracture that ultimately progressed to overt displacement with kyphosis resulting in acute cervical pain and instability. The patient underwent urgent open reduction and instrumented posterior fixation. We discuss the challenges associated with a timely diagnosis and offer insight into the surgical management of this rare yet potentially catastrophic complication.
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spelling pubmed-82658682021-09-22 Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion Munim, Mohammed A. Njoku, Innocent U. Cheng, Christina W. J Am Acad Orthop Surg Glob Res Rev Case Report Fused motion segments have been documented to alter the biomechanics of the cervical spine and compromise its stability. Current literature describes a growing association between the presence of prior noninstrumented fused cervical segments and the predisposition to acute, traumatic instability at adjacent levels. We present the case of a stable cervical spine fracture pattern in a patient with a history of multilevel noninstrumented anterior cervical spine fusion—initially presenting as a small, nondisplaced unilateral facet fracture that ultimately progressed to overt displacement with kyphosis resulting in acute cervical pain and instability. The patient underwent urgent open reduction and instrumented posterior fixation. We discuss the challenges associated with a timely diagnosis and offer insight into the surgical management of this rare yet potentially catastrophic complication. Wolters Kluwer 2021-07-07 /pmc/articles/PMC8265868/ /pubmed/34232952 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00067 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Munim, Mohammed A.
Njoku, Innocent U.
Cheng, Christina W.
Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion
title Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion
title_full Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion
title_fullStr Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion
title_full_unstemmed Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion
title_short Complications of a Unilateral Nondisplaced Cervical Facet Fracture in a Patient With Previously Noninstrumented Anterior Cervical Fusion
title_sort complications of a unilateral nondisplaced cervical facet fracture in a patient with previously noninstrumented anterior cervical fusion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8265868/
https://www.ncbi.nlm.nih.gov/pubmed/34232952
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00067
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