中华医学杂志（英文版）2007，Vol.120Issue(3)：216-218,3.
Treatment of cervical dislocation with locked facets
Treatment of cervical dislocation with locked facets
YU Ze-sheng 1James J.Yue 2WEI Feng 2LIU Zhong-jun 1CHEN Zhong-qiang 1DANG Geng-ting1
作者信息
- 1. Department of Orthopaedic Surgery, Peking University Third Hospital, Beijing 100083, China
- 2. Department of Orthopaedic Surgery, Yale University, New Haven,CT 06520, USA
- 折叠
摘要
Abstract
Background Lower cervical dislocation with locked facets is common in cervical injury. The locked facets include unilateral and bilateral types. Different successful closed reduction rates has been achieved between unilateral and bilateral types by using rapid skull traction, which was commonly used to reduce the cervical dislocation. It is important to investigate a suitable management specific to patients with different types of cervical locked facets.Methods A total of 38 patients with cervical dislocation with locked facet due to cervical injury treated by rapid skull traction and operation from 1988 to 2005 were reviewed. Rapid skull traction was used in all the patients. Successful closed reduction rate was 88.0% in patients with bilateral cervical locked facets and that was 15.4% in those with unilateral cervical locked facets. These data were then statistically compared by Chi-square test. Patients who were reduced successfully underwent anterior cervical discectomy and fusion at the injured level, and those who failed in closed reduction received posterior open reduction and fixation.Results In this series, there was statistically significant difference (P＜0.05) in the rate of successful closed skull traction reduction between unilateral and bilateral locked facets dislocation. Unilateral cervical locked facets dislocation was not easily reduced by skull traction which was suitable for reduction of bilateral cervical locked facets dislocation. However,unilateral cervical locked facets dislocation can be reduced by posterior open reduction.Conclusions Unilateral cervical locked facets dislocation should be treated immediately with posterior open reduction and instrumentation. Bilateral cervical locked facets dislocation can be reduced by rapid skull traction firstly and anterior cervical discectomy and interbody fusion later.关键词
dislocation/cervical vertebrae/therapy/tractionKey words
dislocation/cervical vertebrae/therapy/traction分类
医药卫生引用本文复制引用
YU Ze-sheng,James J.Yue,WEI Feng,LIU Zhong-jun,CHEN Zhong-qiang,DANG Geng-ting..Treatment of cervical dislocation with locked facets[J].中华医学杂志（英文版）,2007,120(3):216-218,3.
