Journal
NEUROSURGERY CLINICS OF NORTH AMERICA
Volume 28, Issue 1, Pages 125-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.nec.2016.07.005
Keywords
Cervical spine facet injury; Prereduction MRI; Closed reduction of displaced cervical facet injury; Surgical approach
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Facet injuries are common in the cervical spine. Many classification systems over the years have characterized the heterogeneity of these injuries. For unilateral facet fractures with minimal displacement and no neurological deficit, there is mounting evidence that better radiographic and clinical outcomes may be achieved with surgical treatment. Anterior and posterior approaches can both be utilized successfully for the surgical management of facet injuries. The anterior approach is well tolerated, allows one to address a disc herniation, and provides a high union rate with good sagittal alignment. The posterior approach allows for easier open reduction and biomechanically superior fixation.
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