Delayed bilateral facet dislocation at L4-5

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چکیده

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CT of bilateral lumbosacral facet dislocation.

Traumatic injuries to the lumbar spine that result in dislocation and locking of facet jOints are unusual. Unilateral injuries of this type involving the lower lumbar spine, however, have been reported [1-3]. To our knowledge, the CT findings of bilateral facet dislocations at th is level have not been described. In this report we describe the CT and surgical find ings of two patients who had a...

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Bilateral Cervical Spine Facet Fracture-Dislocation

An intoxicated 29-year-old male presented to the emergency department after diving into a pool with reported loss of consciousness and complaining of neck pain. On arrival the Glasgow Coma Scale was 15 and vital signs were unremarkable. Physical exam was significant for focal C6 tenderness without stepoff deformity, decreased grip strength, biceps hyperreflexia and absent triceps reflexes bilat...

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Bilateral cervical facet dislocation without neurological injury.

sent significant high-energy trauma to the cervical spine. Neurological morbidity is common, occurring in up to 85% to 90% of cases, and usually is severe among patients with bilateral facet injury.1 Treatment of these injuries is directed at emergent reduction and stabilization of the spine to prevent worsening of any preexisting neurological deficits. Rupture of the posterior longitudinal lig...

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A delayed diagnosis of bilateral facet dislocation of the cervical spine: a case report.

OBJECTIVE To review the case of a patient suffering from bilateral facet dislocation of the cervical spine. CLINICAL FEATURES A 53-year-old male was involved in a car accident and was transported to the hospital. Cervical radiographs were taken at the emergency department and interpreted as normal. Four days later, he consulted a chiropractor where radiographs of the cervical spine were repea...

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Progressive paralysis after bilateral facet dislocation of the cervical spine.

We report 13 patients with missed bilateral facet dislocation of the lower cervical spine who subsequently developed severe spinal-cord involvement. There were more women and the patients were older than in most groups with spinal injury. The commonest cause was a fall, and paralysis appeared from six to 48 hours after injury in most patients. Ten patients made some recovery after late reductio...

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ژورنال

عنوان ژورنال: Medicine

سال: 2018

ISSN: 0025-7974

DOI: 10.1097/md.0000000000012483