Bilateral Lower Cervical Facet Dislocation (CFD) Corrected with Reduction, Anterior Cervical Discectomy with Fusion (ACDF), and Posterior Fixation in a 19-Year-Old Male
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Description
Cervical facet dislocation (CFD) is a well-established cause of traumatic spinal cord injury (TSCI).
A previously healthy 19-year-old male presents to the emergency department with complete loss of motor function of bilateral lower extremities and hands following a traumatic spinal cord injury (TSCI). Radiographs demonstrated C6-C7 bilateral facet dislocation with anterior longitudinal ligament (ALL), posterior longitudinal ligament (PLL), and ligamentum flavum (LF) at the same level.
Following multiple unsuccessful attempts at closed reduction while awake, closed reduction was achieved under anesthesia of C6-C7 anterior cervical discectomy with fusion (ACDF) allograft and anterior plating along with posterior instrumentation and fusion.
One year post-operatively, the patient regained near complete motor function in lower extremities with no assistive ambulatory device required but some continued ataxia.
Publication Date
5-9-2025
Disciplines
Internal Medicine
Recommended Citation
Nguyen K, Nguyen R, Gomez A. Bilateral lower cervical facet dislocation (CFD) corrected with reduction, anterior cervical discectomy with fusion (ACDF), and posterior fixation in a 19-year-old male. Presented at: Research Day Corewell Health West; 2025 May 9; Grand Rapids, MI.
Comments
2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1662