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KMID : 0361620220570030265
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Journal of the Korean Orthopaedic Association
2022 Volume.57 No. 3 p.265 ~ p.269
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Fracture and Bilateral Facet Dislocation after Anterior Cervical Fusion in a Patient with a Distraction-Flexion Injury at the Lower Cervical Level
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Kim Jong-Kil
Kim Jin-Hong
Kim Kyung-Tae
Song Kyung-Jin
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Abstract
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A bilateral facet dislocation after anterior cervical fusion with a plate in distraction-flexion injury without significant instability in plain radiography is very rare. This paper reports a case with a confirmed injury status (C6?7 and C7?T1) by magnetic resonance imaging and computed tomography with no visible fractures or displacement on plain radiography. Anterior cervical fusion (C6?T1) was performed with a cage and plate. On the other hand, three days later, C6?7 bilateral facet dislocation developed with severe neck and radiating pain, and posterior decompression and fusion were performed.
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KEYWORD
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lower cervical spine, facet dislocation, flexion injury, anterior fusion
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