Cirillo Juan Ignacio, Ricciardi Guillermo A, Alvarez Lemos Facundo Lisandro, Guiroy Alfredo, Yurac Ratko, Schnake Klaus
Hospital del Trabajador, Santiago, Chile.
Clínica Universidad de los Andes, Santiago, Chile.
EFORT Open Rev. 2024 Mar 5;9(3):202-209. doi: 10.1530/EOR-23-0161.
Isolated cervical spine facet fractures are often overlooked. The primary imaging modality for diagnosing these injuries is a computed tomography scan. Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation remains controversial. The available evidence regarding treatment options for these fractures is of low quality. Risk factors associated with the failure of nonoperative treatment are: comminution of the articular mass or facet joint, acute radiculopathy, high body mass index, listhesis exceeding 2 mm, fragmental diastasis, acute disc injury, and bilateral fractures or fractures that adversely affect 40% of the intact lateral mass height or have an absolute height of 1 cm.
孤立的颈椎小关节骨折常常被忽视。诊断这些损伤的主要影像学检查方法是计算机断层扫描。对于无脱位或半脱位证据的单侧颈椎小关节骨折的治疗仍存在争议。关于这些骨折治疗方案的现有证据质量较低。与非手术治疗失败相关的危险因素包括：关节块或小关节粉碎、急性神经根病、高体重指数、滑脱超过2毫米、骨折碎片分离、急性椎间盘损伤以及双侧骨折或对完整侧块高度40%产生不利影响或绝对高度达1厘米的骨折。
