Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.
Marin Health Spine Institute, A UCSF Clinic, Larkspur, CA.
Clin Spine Surg. 2024 Nov 1;37(9):404-415. doi: 10.1097/BSD.0000000000001706. Epub 2024 Oct 11.
Cervical facet injuries, though less common than other spinal injuries, represent a subset of subaxial cervical spine injuries and can present significant challenges in terms of diagnosis, management, and outcomes. A major concern with cervical facet fracture is identifying instability patterns that may necessitate surgical stabilization. Particularly in cases of cervical facet fracture dislocations, there remains controversy regarding requirements for closed reduction, timing, surgical approach, need for preoperative MRI, and method of fixation. This review article aims to provide a thorough understanding of the etiology, clinical presentation, diagnostic techniques, treatment options, and prognostic factors associated with cervical facet fractures.
颈椎小关节损伤虽不如其他脊柱损伤常见，但属于下颈椎损伤的一个亚类，在诊断、治疗和预后方面均存在较大挑战。颈椎小关节骨折的一个主要关注点是确定可能需要手术稳定的不稳定模式。特别是对于颈椎小关节骨折脱位，关于闭合复位的要求、时机、手术入路、术前 MRI 的必要性以及固定方法仍存在争议。本文旨在深入了解颈椎小关节骨折的病因、临床表现、诊断技术、治疗选择和预后因素。
