Dislocation with Locking of the Bilateral Facet Joints Followed by Spontaneous Rapid Reduction in an Elderly Lady with Cervical Spine Injury: A casereport

Authors

Yih-Tsen Lai
Dar-Ming Lai
Huey-Wen Liang

Translated Title

頸椎受傷之女性發生小面關節脫位與卡鎖後短期內自行復位：病例報告

Abstract

The main causes of cervical spine injury vary among different age groups. Elderly people have a tendency to sustain injuries due to falls, which is a low energy mechanism of injury. Here, we report a case of a 76-year-old woman who fell down from sitting and suffered severe dislocation of the C5 on the C6 vertebra and locking of the bilateral facet joints. She showed spontaneous reduction of the dislocation on a magnetic resonance image taken 3 h after the injury. After surgical fixation of the dislocated cervical spine, she was transferred for rehabilitation therapy. Gradually neurological and functional improvement was observed postoperatively. In this paper, we present the clinical course, management and injury mechanism and also provide the discussions for the reasons of spontaneous reduction.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2009.37(2)08

First Page

139

Last Page

145

Recommended Citation

Lai, Yih-Tsen; Lai, Dar-Ming; and Liang, Huey-Wen (2009) "Dislocation with Locking of the Bilateral Facet Joints Followed by Spontaneous Rapid Reduction in an Elderly Lady with Cervical Spine Injury: A casereport," Rehabilitation Practice and Science: Vol. 37: Iss. 2, Article 8.
DOI: https://doi.org/10.6315/2009.37(2)08
Available at: https://rps.researchcommons.org/journal/vol37/iss2/8