Cargando…
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...
Autores principales: | , , |
---|---|
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 |
_version_ | 1783719820267618304 |
---|---|
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. |
format | Online Article Text |
id | pubmed-8265868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT munimmohammeda complicationsofaunilateralnondisplacedcervicalfacetfractureinapatientwithpreviouslynoninstrumentedanteriorcervicalfusion AT njokuinnocentu complicationsofaunilateralnondisplacedcervicalfacetfractureinapatientwithpreviouslynoninstrumentedanteriorcervicalfusion AT chengchristinaw complicationsofaunilateralnondisplacedcervicalfacetfractureinapatientwithpreviouslynoninstrumentedanteriorcervicalfusion |