The management of traumatic cervical bilateral facet fracture-dislocations with unicortical anterior plates

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

The goal of this study was to evaluate single-level anterior cervical discectomy and stabilization for bilateral facet fracture dislocations using bone graft and anterior titanium plates with unicortical screw fixation in the clinical setting. We conducted a retrospective review during a consecutive 6-year period of patients treated in a single institution for traumatic single-level cervical bilateral facet fracture-dislocation. All fracture-dislocations that could be aligned with traction were subsequently stabilized using an anterior cervical discectomy with bone graft and titanium unicortical locking plates. All patients were examined after operation for radiographic evidence of healing and neurologic outcome. Twenty-two patients (M:F ratio, 16:6: average age. 47.7 years) underwent an anterior cervical discectomy and stabilization with either an allograft (n = 12) or an autograft (n = 10) and a titanium unicortical locking plate. Most patients had sustained a spinal cord injury (87%) or a radicular injury (9%). The average follow-up was 32 months, with a minimum follow-up of 1 year (range, 13 to 77 months). There was one instrumentation-related failure, but all 22 patients ultimately had evidence of stability at the instrumented level on the final follow-up examination. Anterior fixation with unicortical cervical locking plates as a single procedure offers an excellent surgical alternative in the management of many cervical bilateral facet fracture dislocations in patients who can be reduced preoperatively.

Original languageEnglish
Pages (from-to)374-381
Number of pages8
JournalJournal of Spinal Disorders
Volume13
Issue number5
DOIs
StatePublished - Dec 1 2000

Fingerprint

Diskectomy
Titanium
Transplants
Bone and Bones
Autografts
Traction
Spinal Cord Injuries
Nervous System
Allografts
Fracture Dislocation
Wounds and Injuries

Keywords

  • Anterior plates
  • Cervical spine
  • Dislocation
  • Facet
  • Fracture

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

The management of traumatic cervical bilateral facet fracture-dislocations with unicortical anterior plates. / Razack, N.; Green, Barth A; Levi, Allan D.

In: Journal of Spinal Disorders, Vol. 13, No. 5, 01.12.2000, p. 374-381.

Research output: Contribution to journalArticle

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