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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 2, 219-223
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Progressive paralysis after bilateral facet dislocation of the cervical spine

YJ Mahale and Silver JR

National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, Bucks, England.

We report 13 patients with missed bilateral facet dislocation of the lower cervical spine who subsequently developed severe spinal-cord involvement. There were more women and the patients were older than in most groups with spinal injury. The commonest cause was a fall, and paralysis appeared from six to 48 hours after injury in most patients. Ten patients made some recovery after late reduction but three remained totally paralysed. We discuss the pathogenesis of the late cord lesion and the reasons for delay in diagnosis.




(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General