IR@PKUHSC  > 北京大学第三临床医学院  > 骨科
学科主题临床医学
Treatment of cervical dislocation with locked facets
Yu Ze-sheng1; Yue, James J.1; Wei Feng1; Liu Zhong-jun1; Chen Zhong-qiang1; Dang Geng-ting1
关键词Dislocation Cervical Vertebrae Therapy Traction
刊名CHINESE MEDICAL JOURNAL
2007-02-05
120期:3页:216-218
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]CLOSED REDUCTION ; SPINE
英文摘要

Background Lower cervical dislocation with locked facets is common in cervical injury. The locked facets include unilateral and bilateral types. Different successful closed reduction rates has been achieved between unilateral and bilateral types by using rapid skull traction, which was commonly used to reduce the cervical dislocation. It is important to investigate a suitable management specific to patients with different types of cervical locked facets.

Methods A total of 38 patients with cervical dislocation with locked facet due to cervical injury treated by rapid skull traction and operation from 1988 to 2005 were reviewed. Rapid skull traction was used in all the patients. Successful closed reduction rate was 88.0% in patients with bilateral cervical locked facets and that was 15.4% in those with unilateral cervical locked facets. These data were then statistically compared by Chi-square test. Patients who were reduced successfully underwent anterior cervical discectomy and fusion at the injured level, and those who failed in closed reduction received posterior open reduction and fixation.

Results In this series, there was statistically significant difference (P < 0.05) in the rate of successful closed skull traction reduction between unilateral and bilateral locked facets dislocation. Unilateral cervical locked facets dislocation was not easily reduced by skull traction which was suitable for reduction of bilateral cervical locked facets dislocation. However, unilateral cervical locked facets dislocation can be reduced by posterior open reduction.

Conclusions Unilateral cervical locked facets dislocation should be treated immediately with posterior open reduction and instrumentation. Bilateral cervical locked facets dislocation can be reduced by rapid skull traction firstly and anterior cervical discectomy and interbody fusion later.

语种英语
WOS记录号WOS:000244222200008
Citation statistics
Cited Times:12[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51451
Collection北京大学第三临床医学院_骨科
作者单位1.Yale Univ, Dept Orthopaed Surg, New Haven, CT 06520 USA
2.Peking Univ Third Hosp, Dept Orthopaed Surg, Beijing 100083, Peoples R China
Recommended Citation
GB/T 7714
Yu Ze-sheng,Yue, James J.,Wei Feng,et al. Treatment of cervical dislocation with locked facets[J]. CHINESE MEDICAL JOURNAL,2007,120(3):216-218.
APA Yu Ze-sheng,Yue, James J.,Wei Feng,Liu Zhong-jun,Chen Zhong-qiang,&Dang Geng-ting.(2007).Treatment of cervical dislocation with locked facets.CHINESE MEDICAL JOURNAL,120(3),216-218.
MLA Yu Ze-sheng,et al."Treatment of cervical dislocation with locked facets".CHINESE MEDICAL JOURNAL 120.3(2007):216-218.
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