Complete Dislocations at Two Adjacent Levels of the Cervical Spine

Eismont, Frank J.; Borja, Francisco; Bohlman, Henry H.

doi:10.1097/00007632-198404000-00019

Cited by 6 publications

(4 citation statements)

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“…In regard to the single case of cervical dislocation at two adjacent levels described in the literature [3], it is quite similar to our case with a two levels anterior dislocation, one bilateral C5C6 and one unilateral C6C7, associated to a split fracture of C6; the dislocations occurred at the most commonly concerned levels in these kind of injuries i.e C5C6 and C6C7 whereas in our case, it occurred at higher uncommon levels i.e. C3C4 and C4C5.…”

Section: Discussionsupporting

confidence: 88%

“…Multiple simultaneous spine fractures and dislocations may be present in as many as 4.8% of the patients being treated at tertiary spinal centers [2]; these injuries are usually separated by several spinal segments. The occurrence of two complete cervical dislocations at adjacent levels is very uncommon and was described only one time in the literature [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Two Adjacent Levels Dislocation of the Cervical Spine Managed via an Anterior Only Approach : A Case Report

Bourghli¹,

Vital²,

Boissière³

et al. 2016

LMJ

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Two Adjacent Levels Dislocation of the Cervical Spine Managed via an Anterior Only Approach : A Case Report

Bourghli¹,

Vital²,

Boissière³

et al. 2016

LMJ

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“…Eismont et al 12 reported a case with ASIA-A spinal injury due to diving. He had a unilateral facet dislocation at C6/7 level with bilateral dislocations at C5/6 level.…”

Section: Discussionmentioning

confidence: 99%

Contiguous-Level Unilateral Cervical Spine Facet Dislocation—A Report of a Less Discussed Subtype

Das

Sekar

et al. 2022

JNRP

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Unilateral facet dislocation of subaxial cervical spine trauma is characterized by dislocation of inferior facet of superior vertebra over the superior facet of inferior vertebra. The injury is due to high-velocity trauma and associated with instability of spinal column. Such unilateral facet dislocations occurring at multiple adjacent levels for some reason are not reported or studied frequently. We have reported two cases of multiple-level dislocation of unilateral facets managed in our hospital with a review of available literature. The injury occurs as one side of the motion segment translates and rotates around an intact facet on the contralateral side. The major mechanism of injury is distractive flexion injury with axial rotation component. The injury is associated with instability secondary to loss of the discoligamentous complex. In cases with multiple-level dislocations of unilateral cervical facets, there are multiple mechanisms associated with significant neurological injury and most of them succumb at the site of injury. Only three other cases are available in English language literature. The neurological outcome is invariably poor. Multiple-level facet dislocations of subaxial cervical spine are reported sparsely in literature. We suspect that due to high-velocity nature of these injuries, most of them succumb soon after injury and not often reported. This article reports two cases of contiguous-level unilateral facet dislocation of subaxial cervical spine with associated injuries and the outcomes with review of literature.

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“…Bilateral adjacent-level dislocations are very rare and have thus far only been reported twice in literature. [1,3] Here, we present a 31-year-old male, who previously had a C6-C7 arthroplasty and sustained a 40-50 feet fall resulting in bilateral C6-C7 and C7-T1 facet dislocations treated initially with closed reduction followed by delayed open reduction and posterior cervical fusion.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

Surg Neurol Int

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Background: Cervical facet dislocations are rare in patients sustaining traumatic subaxial injuries. ey occur due to hyperflexion-distraction and can occur unilaterally or bilaterally resulting in significant spinal instability. Bilateral facet dislocations at one level are less common than unilateral dislocations, while bilateral facet dislocations at adjacent spinal levels have only been reported twice in literature.Case Description: A 31-year-old male presented with bilateral facet dislocations at two adjacent cervical levels (C6/C7 and C7/T1) following a fall from 40 to 50 feet. e patient had undergone a C6/C7 disk arthroplasty a few weeks before the traumatic event. Conclusion:Here, we present the unique case of cervical bilateral jumped facets occurring at two adjacent levels (i.e., C6-C7 and C7-T1). Notably, the antecedent cervical C6-C7 arthroplasty likely contributed to the altered load distribution, leading to this unusual instance of bilateral adjacent level facet dislocations. In such cases, surgical reduction and fixation may prove technically challenging warranting, therefore, careful preoperative planning.

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Complete Dislocations at Two Adjacent Levels of the Cervical Spine

Cited by 6 publications

References 0 publications

Two Adjacent Levels Dislocation of the Cervical Spine Managed via an Anterior Only Approach : A Case Report

Two Adjacent Levels Dislocation of the Cervical Spine Managed via an Anterior Only Approach : A Case Report

Contiguous-Level Unilateral Cervical Spine Facet Dislocation—A Report of a Less Discussed Subtype

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