The Management of Traumatic Cervical Bilateral Facet Fracture–Dislocations with Unicortical Anterior Plates

The Management of Bilateral Interfacetal Dislocation with Anterior Fixation in Cervical Spine : Comparison with Combined Antero-Posterior Fixation

“…Razack et al 18) evaluated that single level anterior cervical discectomy and stabilization for bilateral facet fracture and dislocation using unicortical anterior plates. All patients that could be aligned with traction were stabilized using an anterior fusion with bone graft and titanium unicortical locking plate.…”

Traumatic Cervical Unilateral and Bilateral Facet Dislocations Treated with Anterior Cervical Discectomy and Fusion Has a Low Failure Rate

“…[19][20][21] Modern designs of anterior cervical plates with locking screw plate interfaces have led to greater application of anterior fixation to cervical trauma. 10,22 The authors also stress the importance of long screw fixation. We feel that positioning screws within 2 mm of the posterior vertebral cortex will optimize fixation and could decrease failure rates.…”

“…Review of published literature reveals fixation failure ranging from 5% to 54%. 10,11,17,18 This variability in results could be explained by studies with small numbers of patients, variability in techniques, and instrumentation. To our knowledge, there have been few publications over the past 10 years investigating the efficacy of ACDF for flexion-distraction injuries with jumped facets.…”

“…[6][7][8] Despite biomechanical advantages with posterior fixation, anterior cervical discectomy and fusion (ACDF) for the treatment of bilateral facet dislocations has also been reported as clinically successful. [9][10][11] Hundred percent fusion rates 9,10 and low infection rates 12 have been reported with anterior fixation and fusion. The anterior approach enables the surgeon to decompress the spinal canal by removing the intervertebral disc and preventing potential neurological deterioration from disc sequestration.…”

Comparative Study of Interspinous Wiring and Lateral Mass Fixation in Conjunction with Anterior Fusion in the Treatment of Sub Axial Cervical Spine Trauma

“…Cervical spine injuries with bilateral facet dislocation indicate severe and unstable injury and it requires dorsal supplemental instrumentation even if reduction and stabilization is achieved through anterior approach. Some authors have described that in bilateral facet dislocations treated by anterior approach alone, the redislocation rate is unacceptable [12] . So bilateral facet dislocation needs posterior unlocking, stabilization of posterior column by any acceptable technique followed by anterior fixation by graft at the level of disc space.…”