Fracture and Bilateral Facet Dislocation after Anterior Cervical Fusion in a Patient with a Distraction-Flexion Injury at the Lower Cervical Level
10.4055/jkoa.2022.57.3.265
- Author:
Jong-Kil KIM
1
;
Jin-Hong KIM
;
Kyung-Tae KIM
;
Kyung-Jin SONG
Author Information
1. Department of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Korea
- Publication Type:Case Report
- From:The Journal of the Korean Orthopaedic Association
2022;57(3):265-269
- CountryRepublic of Korea
- Language:English
-
Abstract:
A bilateral facet dislocation after anterior cervical fusion with a plate in distraction-flexion injury without significant instability in plain radiography is very rare. This paper reports a case with a confirmed injury status (C6–7 and C7–T1) by magnetic resonance imaging and computed tomography with no visible fractures or displacement on plain radiography. Anterior cervical fusion (C6–T1) was performed with a cage and plate. On the other hand, three days later, C6–7 bilateral facet dislocation developed with severe neck and radiating pain, and posterior decompression and fusion were performed.
