• Am J. Orthop. · Jun 2012

    Case Reports

    Traumatic C4-C5 unilateral facet dislocation with posterior disc herniation above a prior anterior fusion.

    • Noah M Raizman, Warren D Yu, Matthew V Jenkins, Matthew T Wallace, and Joseph R O'Brien.
    • Department of Orthopaedic Surgery, George Washington University School of Medicine, Washington, DC 20037, USA.
    • Am J. Orthop. 2012 Jun 1;41(6):E85-8.

    AbstractWe report the case of a unilateral cervical facet dislocation above the level of a prior non-instrumented cervical discectomy and fusion, resulting in incomplete neurologic injury. Pre-reduction imaging demonstrated a large posterior disk extrusion. This finding altered our management approach from closed reduction to urgent anterior cervical discectomy, open anterior reduction, and fusion. The patient had excellent neurologic recovery and outcome at 12 months postoperative follow-up.

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