A study on outcome of facet joint dislocation of cervical spine

Abstract

Background:Cervical spine dislocations subluxations and dislocations are more common in the lower segments of cervical spines. This study was undertaken in order to study the outcome of cervical spine in a tertiary care centre. Material and methods:A prospective study of 25 cases was undertaken in a tertiary care centre. Cases with unilateral and bilateral facet dislocation were operated and they were followed up for a period of 6 months with radiological examination. JOA score, CC index and ASIA scale were used to assess the improvement. Results:Majority of the cases belonged to more than 40 years of age group and males outnumbered females. The preoperative JOA score was improved from 10.92 to 12.72 and CCI decreased from 19.12 to 10.56. The ASIA grade had also shown significant improvement in most of the patients. Conclusion:This study concludes that, a better outcome in cervical facet injuries which are performed at earliest possible point of time.

Key words: Cervical facet injuries, Closed reduction, Anterior approach, ASIA grading, CCI.