Jain Mantu, Khuntia Susanta, Rao Bhaskar P
Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India.
Department of Anaesthesia, AIIMS, Bhubaneswar, Odisha, India.
Asian J Neurosurg. 2020 Aug 28;15(3):773-776. doi: 10.4103/ajns.AJNS_27_20. eCollection 2020 Jul-Sep.
Bilateral cervical facet dislocation is a serious injury that in majority cause neurologic deficit requiring prompt medical attention. Rarely, they retain normal neurology due to spontaneous decompression even though patients can have objective myelopathic or root compression signs. Neglected cases with normal neurology are uncommon with only few of them reported in the literature but their management is still a matter of debate. Here, we report a case of a 26-year-old female who had neglected bilateral facet dislocation with neck stiffness that was operated with posteroanterior approach with near-complete reduction and intact neurology. We describe the technique employed and discuss the literature.
双侧颈椎小关节脱位是一种严重损伤，多数情况下会导致神经功能缺损，需要及时就医。极少数情况下，尽管患者可能有客观的脊髓病或神经根受压体征，但由于自发减压，神经功能仍保持正常。神经功能正常的漏诊病例并不常见，文献中仅有少数报道，但其治疗仍存在争议。在此，我们报告一例26岁女性，其双侧小关节脱位被漏诊，伴有颈部僵硬，采用前后路手术，复位接近完全，神经功能完好。我们描述了所采用的技术并讨论了相关文献。
