Ver el código de «Cervical facet dislocation»

==Background==
*is an [[unstable spine injury]]

==Clinical Features==

==Differential Diagnosis==
{{Cervical spine injuries}}

==Workup==
*[[C-Spine X-Ray]]
*determine if more than 1 spinal column affected 
** 1 column = generally stable 
** 2 or more columns = unstable
*generally superior facet fx
*abnormal xray? -> get CT

==Management==
===Prehospital Immobilization===
See [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]]

===Hospital===
====Bilateral====
*Unstable as whole column can sublux
*high risk for significant spinal cord injury 
*Disruption of annulus fibrosus and ant longitudinal ligament > ant displacement of spine
*Imaging
**Lateral xray: vertebral body will be displaced ~50% of its width 
*Management
**spinal precautions
**operative management: nsg vs ortho

====Unilateral====
*Relatively Stable
*Presentation
**C5/C6: C6 radiculopathy with weakness to wrist extension numbness and tingling in the thumb
**C6/C7: C7 radiculopathy with weakness to triceps and wrist flexion and numbness in index and middle finger
*Imaging
**Lateral x-ray: vertebral body will be displaced ~25% of its width
**Anterior x-ray: affected spinous process points toward side that is dislocated
*Spinal cord injury rarely occurs

==Disposition==

==See Also==
*[[Spinal Cord Trauma]]
*[[Cervical spine injuries]]

[[Category:Trauma]]
[[Category:Ortho]]