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Case Reports
Combined approach for a locked unilateral facet fracture-dislocation of the cervicothoracic junction.
- Bernhard Schmidt-Rohlfing, Matthias Nossek, Matthias Knobe, and Marco Das.
- Department of Orthopaedic and Trauma Surgery, Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, Germany. bernhard.schmidt@post.rwth-aachen.de
- Acta Orthop Belg. 2008 Dec 1; 74 (6): 875-80.
AbstractThe authors present the case of a 36-year-old patient who sustained a unilateral fracture-dislocation C7-T1 involving all three columns, given the lesion of the C7-T1 disc on MRI. In view of the fractured facet, closed reduction without anaesthesia was not attempted. First, open reduction and instrumentation were performed from posteriorly. In a second operation, anterior fusion C7-T1 was added, using a tricortical bone graft and instrumentation. The authors felt that this three-column lesion at the cervicothoracic junction necessitated combined posterior-anterior stabilisation.
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