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 repeated. The examination revealed bilateral cervical facet joint dislocation at C5-C6 as well as a fracture involving the spinous process and laminae of C6.
Intervention And Outcome: The patient was referred to the hospital and underwent surgery.
Conclusion: Patients involved in motor vehicle accidents often consult chiropractors for neck pain treatment. A high index of suspicion due to significant history and physical examination findings should guide the clinician in determining the need for reviewing the initial radiographs (if taken and available) or request repeat studies, regardless of the initial imaging status.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924504 | PMC |
Publication Analysis
Top Keywords
Similar Publications
Tending to the Facial Surfaces of a Mathematical Biology Head-Scratcher: Why Does the Head of the Sea Turtle Resemble a Convex Zygomorphic Dodecahedron?
Animals (Basel)
January 2025
Department of Chemistry and Biochemistry, Florida International University, Miami, FL 33199, USA.
Two convex polyhedra that markedly resemble the head of the flatback sea turtle hatchling are identified. The first example is a zygomorphic tetragonal dodecahedron, while the other, an even better matching structure, is a related tetradecahedron, herein speculated to arise from this particular dodecahedron via known mechanisms gleaned from studies of the behavior of foams. A segmented, biomorphic, convex polyhedral model to address cephalic topology is thus presented stemming from solid geometry, anatomical observations, and a recently computed densest local packing arrangement of fifteen slightly oblate spheroids in which fourteen oblate spheroids surround a central such spheroid.
View Article and Find Full Text PDFInnovative Nerve Root Protection in Full-Endoscopic Facet-Resecting Lumbar Interbody Fusion: Controlled Cage Glider Rotation Using the GUARD (Glider Used As a Rotary Device) Technique.
Neurospine
December 2024
Department of Orthopedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
This video presents a case of L4-5 unstable spondylolisthesis treated with full-endoscopic transforaminal lumbar interbody fusion (Endo-TLIF), emphasizing the GUARD (Glider Used as a Rotary Device) technique for nerve root protection. This innovative approach involves controlled rotation of the cage glider before cage insertion to minimize the risk of nerve root injury, a significant complication in Endo-TLIF procedures. The GUARD technique, validated in previous cadaveric studies, provides enhanced safety during cage insertion by protecting the nerve root.
View Article and Find Full Text PDFBiomechanical assessment of anterior plate system, bilateral pedicle screw and transdiscal screw system for high-grade spondylolisthesis: a finite element study.
Front Bioeng Biotechnol
November 2024
Department of Neurosurgery, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, FL, United States.
Article Synopsis
- The study investigates the biomechanical effects of different internal fixation techniques for high-grade L5-S1 spondylolisthesis, focusing on how stiffness and hardware stress impact outcomes.
- A finite element model of the lumbar spine was created to simulate high-grade spondylolisthesis and assess three treatment methods: anterior plate system (APS), bilateral pedicle screw system (BPSS), and transdiscal screw system (TSS).
- Results showed that while all treatments reduced range of motion, TSS had the best resistance to shear forces and lower internal fixation stress, although it increased stress on the adjacent annulus compared to APS and BPSS.
Nonlaminotomy bilateral decompression: a novel approach in biportal endoscopic spine surgery for spinal stenosis.
Asian Spine J
December 2024
Department of Orthopaedic Surgery, Saegil Hospital, Seoul, Korea.
Biportal endoscopic spine surgery (BESS) is an emerging technique for lumbar spinal stenosis. Previous BESS techniques involve partial osteotomy for access to spinal canal such as partial laminotomy, partial facetectomy, and other forms to access the spinal canal for decompression. However, approaches that include osteotomy can cause bone bleeding intraoperatively, leading to obscured vision, and may be at risk of postoperative facet arthritis and segmental instability due to damage to the posterior stability structure.
View Article and Find Full Text PDFThe Impact of Unilateral Transfemoral Amputation on Lumbar Bone and Muscle Quality.
Am J Phys Med Rehabil
November 2024
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Objective: To examine the long-term perioperative changes in lumbar bone density, muscle size and fatty atrophy, and facet degeneration after transfemoral amputation (TFA).
Design: All patients who underwent TFA at an academic center between 2002-2022 were retrospectively identified. Patients were required to have preoperative and postoperative CT (>1 year) and regularly utilize a prosthesis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!