Spinal instrumentation for interfacet locking injuries of the subaxial cervical spine

Junichi Mizuno, Hiroshi Nakagawa, Tatsushi Inoue, Yasuomi Nonaka, Joonsuk Song, Tiya M. Romli

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

A retrospective analysis of our surgical management of traumatic interfacet locking was performed. Eleven interfacet locking injuries were surgically treated. An anterior procedure was performed in five patients, posterior fixation in three and a combined procedure in three. Five facet locks were reduced by preoperative skull traction. After general anesthesia at surgery, another two cases were corrected manually. Surgical fixation using spinal instrumentation was performed. One patient treated with posterior fixation required an additional anterior procedure because of a delayed disc herniation. Spinal instrumentation avoided a halo vest. The anterior approach may be selected in patients who are reduced manually, while a combined procedure should be performed in patients with irreducible facet dislocation with disc herniation. Delayed symptomatic disc herniation may occur when only posterior fixation is performed.

Original languageEnglish
Pages (from-to)49-52
Number of pages4
JournalJournal of Clinical Neuroscience
Volume14
Issue number1
DOIs
Publication statusPublished - 01-01-2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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