Surgical approaches for cervical spine facet dislocations in adults

The efficacy of single-segment anterior decompression, fixation and fusion in the treatment of traumatic spondylolisthesis of the axis

“…The operative time and intraoperative blood loss of the 49 patients averaged 90.5 ± 4.6 min and 118.5 ± 38.12 ml, respectively. Intervertebral bone grafts were fused in patients with an average fusion time of 6.7 ± 1.0 months (range, [5][6][7][8]. Cervical curvature was significantly higher at 3 months and 1 year after surgery than before surgery, and the American Spinal Cord Injury Association score at 12 months after surgery was significantly higher than that before surgery.…”

“…Anterior surgery is highly effective for correcting spinal cord decompression and facilitating the immediate recovery of cervical curvature. In addition, anterior intervertebral bone graft fusion can avoid the dysplasia of cervical curvature caused by secondary collapse of the injured intervertebral disc [6] . This study indicated that the recovery of the cervical sequence and physiological curvature is achieved through anterior surgery, but it is difficult to reset the rear facet fracture dislocation using this strategy.…”

“…The optimal surgical approach to traumatic spondylolisthesis of the axis has not reached a consensus. The compression in front of the spinal cord can be directly removed via single-segment anterior surgery, but resetting the facet dislocation presents certain difficulties [6] . Traumatic spondylolisthesis can be reset via singlesegment posterior surgery, but this cannot remove the traumatic intervertebral disc herniation in the front [7] .…”

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

“…The anterior only approach was widely described in the literature [11,12], it is an interesting option for several reasons: it is unnecessary to turn the patient, discectomy frequently enables effective reduction of the dislocation if not reduced by external maneuvers, and interbody fusion offer reliable mechanical stability with rapid taking of the graft. In a Cochrane review, Del Curto [13] showed that very low quality evidence from two trials indicated little difference in longterm neurological status, pain or patient-reported quality of life between anterior and posterior surgical approaches to the management of individuals with subaxial cervical spine facet dislocations, but sagittal alignment may be better achieved with the anterior approach.…”

Luxationsfraktur untere HWS – ventral beginnen!

“…In einem systematischen Cochrane Review konnten die Autoren keine signifikanten Unterschiede zwischen den beiden Vorgehensweisen weder bei den kurz-noch bei den mittelfristigen Ergebnissen feststellen und befanden die Qualität der Evidenz als ungenügend, um eine Empfehlung für das chirurgische Management der Luxationsverletzungen der unteren HWS abgeben zu können [11].…”