Bodman Alexa, Chin Lawrence
Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Am J Case Rep. 2015 Feb 22;16:104-8. doi: 10.12659/AJCR.892173.
Cervical facet dislocation injuries typically present shortly after occurrence due to the pain and neurologic deficit that can be associated with this injury. Bilateral dislocations of the facet joint require prompt evaluation, reduction, and surgical intervention. Rare case reports present bilateral dislocations presenting in a delayed fashion.
We report the case of a 60-year-old male who presented with mild neck pain 1 year after initial injury. Computed topography of the cervical spine showed healing with bony fusion of a bilateral C6-7 facet dislocation. Given the chronic healed nature of the injury and minimal symptoms, the patient is being followed without intervention.
Although most bilateral facet dislocations present and are treated immediately after injury; this case illustrates that some may be missed during initial evaluation. Once healed, these injuries may be stable without surgical intervention.
颈椎小关节脱位损伤通常在损伤发生后不久因与之相关的疼痛和神经功能缺损而出现。双侧小关节脱位需要迅速评估、复位和手术干预。罕见的病例报告显示双侧脱位呈延迟表现。
我们报告一例60岁男性病例，该患者在初次受伤1年后出现轻度颈部疼痛。颈椎计算机断层扫描显示双侧C6-7小关节脱位已骨性融合愈合。鉴于损伤的慢性愈合性质及症状轻微，该患者未接受干预，正在接受随访。
尽管大多数双侧小关节脱位在损伤后即被发现并立即治疗；但本病例表明，有些脱位在初次评估时可能被漏诊。一旦愈合，这些损伤可能无需手术干预即可保持稳定。
