Cervical facet dislocation - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2020-10-24T13:18:50Z

Differential Diagnosis

2020-10-24T13:13:36Z

2020-10-24T13:13:21Z

Background

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	==Background==		==Background==
	*When bilateral, is an [[unstable spine fractures\|unstable spine injury]]		*When bilateral, is an [[unstable spine fractures\|unstable spine injury]]

			{{Vertebral fractures and dislocations types}}

	==Clinical Features==		==Clinical Features==

2020-02-22T12:59:48Z

Disposition

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	==Disposition==		==Disposition==
	**Unilateral Facet Dislocation		*Unilateral Facet Dislocation
	***Given stability can be placed in a cervical collar and follow up with neurosurgery as an outpatient		**Given stability can be placed in a cervical collar and follow up with neurosurgery as an outpatient
	**Bilateral Facet Dislocation		*Bilateral Facet Dislocation
	***Emergent neurosurgical evaluation		**Emergent neurosurgical evaluation

	==See Also==		==See Also==

2020-02-22T12:59:28Z

Disposition

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	==Disposition==		==Disposition==
			**Unilateral Facet Dislocation
			***Given stability can be placed in a cervical collar and follow up with neurosurgery as an outpatient
			**Bilateral Facet Dislocation
			***Emergent neurosurgical evaluation

	==See Also==		==See Also==

2018-10-31T05:52:09Z

Hospital

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	===Hospital===		===Hospital===
	====Bilateral====~~[[File:Bilateral Facet Dislocation.jpg\|right\|thumbnail\|Bilateral facet dislocation: although there are no bony fractures, displacement of one vertebra over the inferior disturbs the spinal canal]]~~		====Bilateral====
	*Unstable as whole column can sublux		*Unstable as whole column can sublux
	*High risk for significant spinal cord injury		*High risk for significant spinal cord injury
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	**Spinal precautions		**Spinal precautions
	**Operative management: nsg vs ortho		**Operative management: nsg vs ortho
			[[File:Bilateral Facet Dislocation.jpg\|right\|thumbnail\|Bilateral facet dislocation: although there are no bony fractures, displacement of one vertebra over the inferior disturbs the spinal canal]]

	====Unilateral====		====Unilateral====

2017-08-07T17:22:06Z

Management

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	===Hospital===		===Hospital===
	====Bilateral====		====Bilateral====[[File:Bilateral Facet Dislocation.jpg\|right\|thumbnail\|Bilateral facet dislocation: although there are no bony fractures, displacement of one vertebra over the inferior disturbs the spinal canal]]
	*Unstable as whole column can sublux		*Unstable as whole column can sublux
	*High risk for significant spinal cord injury		*High risk for significant spinal cord injury

2017-06-08T00:40:53Z

Bilateral

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

	====Unilateral====		====Unilateral====

2017-05-28T16:12:40Z

Clinical Features

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	==Clinical Features==		==Clinical Features==
	*Generally from hyperflexion mechanism such as rapid deceleration		*Generally from hyperflexion mechanism such as rapid deceleration
	*Frequently associated with spinal cord injury when bilateral		*Frequently associated with [[Spinal cord syndromes\|spinal cord injury]] when bilateral

	==Differential Diagnosis==		==Differential Diagnosis==

2017-02-09T02:39:13Z

Text replacement - "->" to "→"

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	**2 or more columns = unstable		**2 or more columns = unstable
	*generally superior facet fracture		*generally superior facet fracture
	*abnormal xray? -> get CT		*abnormal xray? → get CT

	==Management==		==Management==