Anterior surgical approach for lower cervical fracture and dislocation combined with facet interlocking: a review
10.3760/cma.j.cn501098-20231125-00333
- VernacularTitle:前路手术治疗下颈椎骨折脱位伴关节交锁的研究进展
- Author:
Yin WANG
1
;
Yanjin WANG
;
Yingjie ZHOU
;
Lei YANG
Author Information
1. 河南省洛阳正骨医院（河南省骨科医院）脊柱外科，洛阳 471002
- Keywords:
Cervical vertebrae;
Spinal fractures;
Dislocations;
Zygapophyseal joint;
Surgical procedures
- From:
Chinese Journal of Trauma
2024;40(5):467-474
- CountryChina
- Language:Chinese
-
Abstract:
Lower cervical fracture and dislocation combined with facet interlocking is an acute spinal cord injury caused by flexion-distraction and rotational force. It can result in various degrees of quadriplegia and urinary and defecation disorders, with a high rate of disability, most of which requires surgical treatment. Surgical treatment options for lower cervical fracture and dislocation combined with facet interlocking include anterior approach, posterior approach and combined surgical approach. However, the optimal treatment option remains to be determined. The anterior approach, with the advantages of simple access, smaller trauma, fewer complications, and good sagittal balance, is currently the preferred treatment option for lower cervical fracture and dislocation combined with facet interlocking. Many methods of surgical repositioning and fixation are available in anterior approach, but the choice of surgical repositioning and fixation options in anterior approach is still controversial among scholars. For this purpose, the authors reviewed the progress of researches on anterior surgical approach for lower cervical fracture and dislocation combined with facet interlocking, aiming to provide a reference for its clinical treatment.
