A 62-year-old man falls and presenting cervical trauma, hyperflexion of the neck and sudden quadriparesis 2/5 and cervical pain. He was taken to the emergency department within the first 8 hrs after the fall where the cervicothoracic CT scan and MRI done and revealed C6-C7 bilateral facet joint dislocation and anterior translation of C6 over C7. The patient underwent surgery to perform laminectomy C4-C5-C6, partial facet joint resection C6 and posterior lateral mass fixation C4-C5 and transfacet T1-T2 screws obtaining a reduction of subluxation of C6, improving of the alignment in saggital plane and the neurological deficit of the 4 limbs. In this review we present physiopathological, radiological aspects and surgical options dependent on the involvement of the anatomical elements of the cervical spine.

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