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Treatment of traumatic spondylolisthesis of the lower cervical spine with concomitant bilateral facet dislocations: Risk of respiratory deterioration
Abstract Background This study aimed to retrospectively examine 36 cases of bilateral cervical facet dislocations (BCFD) of the lower cervical spine who were at risk for respiratory deterioration. Methods The cases of 36 subjects with BCFD of the lower cervical spine who failed to achieve closed red...
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| Published in: | Clinical neurology and neurosurgery 2014-08, Vol.123, p.96-101 |
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| container_title | Clinical neurology and neurosurgery |
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| creator | Ye, Zhe-Wei Yang, Shu-Hua Chen, Bao-Jun Xiong, Li-Ming Xu, Jian-Zhong He, Qing-Yi |
| description | Abstract Background This study aimed to retrospectively examine 36 cases of bilateral cervical facet dislocations (BCFD) of the lower cervical spine who were at risk for respiratory deterioration. Methods The cases of 36 subjects with BCFD of the lower cervical spine who failed to achieve closed reduction were retrospectively studied. The extents of neurological injuries included posterior neck pain without neurological deficit ( n = 2), incomplete spinal cord injury (ISCI) ( n = 21), and complete spinal cord injury (CSCI) ( n = 13). Results Among the subjects, 26 (72.22%) had dyspnea, 6 required mechanical ventilation due to respiratory muscle paralysis, 11 required tracheostomy, and 9 required intubation. All patients received posterior approach reduction, stabilization, and fusion treatment for BCFD in one operative session. For the 26 quadriparetic patients with dyspnea, priority was given to treating their respiratory problems. For the other 10 patients without dyspnea, surgical treatment for irreducible lower cervical spine dislocation was given priority. After an average follow-up period of 63 months, 21 complications were found, but all patients exhibited fusion. Twenty-one patients with ISCI exhibited improvements in their conditions of 1 or 2 grades on the American Spinal Injury Association scale, whereas those with CSCI did not improve. All 26 apnea cases improved. The majority (26) of the 36 cases with BCFD of the lower cervical spine suffered dyspnea. Conclusions Although further study is required, our study suggests that the posterior surgical approach to the cervical spine is safe and effective for patients with traumatic spondylolisthesis of the lower cervical spine concomitant with BCFD who are at risk of respiratory deterioration. |
| doi_str_mv | 10.1016/j.clineuro.2014.04.010 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1551626187</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0303846714001383</els_id><sourcerecordid>3369110811</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-eff0be192bd84ab03dab95cd482d3af12ea73827e30702278c6291574aec06833</originalsourceid><addsrcrecordid>eNqNks9u1DAQxi0EokvhFSpLXLhkGf-Jk3BAoApapEpIUM6W40y03ibxYjut9kF4X5zdFqReQBrJB_--z575hpAzBmsGTL3dru3gJpyDX3Ngcg25GDwhK1ZXvFCNqp-SFQgQRS1VdUJexLgFACFU_Zyc8BIYBw4r8us6oEkjTon6nqZg5tEkZ2nc-anbD35wMW0wuni43iAd_B0GajHcOmuGzOVf0DuXNtT6yfrRJZO9WjeYhCEDvbGYaOfi4G129lN8R7-5eLP4BczyYJIPe9ph5p0PB-YledabIeKr-_OU_Pj86fr8srj6evHl_ONVYWUtU4F9Dy2yhrddLU0LojNtU9pO1rwTpmccTSVqXqGACjivaqt4w8pKGrSgaiFOyZuj7y74nzPGpEcXLQ6DmdDPUbOyZIqrPNP_QGXJGhAH19eP0K2fw5QbWSgpmeS8zJQ6Ujb4GAP2ehfcaMJeM9BLxnqrHzLWS8YacjHIwrN7-7kdsfsjewg1Ax-OAObR3ToMOlqHk8XOBbRJd979-433jywWbEn8BvcY__ajI9egvy-btiwakwBsmcFvHEfTXw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1544414225</pqid></control><display><type>article</type><title>Treatment of traumatic spondylolisthesis of the lower cervical spine with concomitant bilateral facet dislocations: Risk of respiratory deterioration</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Ye, Zhe-Wei ; Yang, Shu-Hua ; Chen, Bao-Jun ; Xiong, Li-Ming ; Xu, Jian-Zhong ; He, Qing-Yi</creator><creatorcontrib>Ye, Zhe-Wei ; Yang, Shu-Hua ; Chen, Bao-Jun ; Xiong, Li-Ming ; Xu, Jian-Zhong ; He, Qing-Yi</creatorcontrib><description>Abstract Background This study aimed to retrospectively examine 36 cases of bilateral cervical facet dislocations (BCFD) of the lower cervical spine who were at risk for respiratory deterioration. Methods The cases of 36 subjects with BCFD of the lower cervical spine who failed to achieve closed reduction were retrospectively studied. The extents of neurological injuries included posterior neck pain without neurological deficit ( n = 2), incomplete spinal cord injury (ISCI) ( n = 21), and complete spinal cord injury (CSCI) ( n = 13). Results Among the subjects, 26 (72.22%) had dyspnea, 6 required mechanical ventilation due to respiratory muscle paralysis, 11 required tracheostomy, and 9 required intubation. All patients received posterior approach reduction, stabilization, and fusion treatment for BCFD in one operative session. For the 26 quadriparetic patients with dyspnea, priority was given to treating their respiratory problems. For the other 10 patients without dyspnea, surgical treatment for irreducible lower cervical spine dislocation was given priority. After an average follow-up period of 63 months, 21 complications were found, but all patients exhibited fusion. Twenty-one patients with ISCI exhibited improvements in their conditions of 1 or 2 grades on the American Spinal Injury Association scale, whereas those with CSCI did not improve. All 26 apnea cases improved. The majority (26) of the 36 cases with BCFD of the lower cervical spine suffered dyspnea. Conclusions Although further study is required, our study suggests that the posterior surgical approach to the cervical spine is safe and effective for patients with traumatic spondylolisthesis of the lower cervical spine concomitant with BCFD who are at risk of respiratory deterioration.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2014.04.010</identifier><identifier>PMID: 25012020</identifier><identifier>CODEN: CNNSBV</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cervical facet dislocations ; Female ; Hospitals ; Humans ; Infections ; Intubation ; Joint Dislocations - complications ; Joint Dislocations - surgery ; Male ; Middle Aged ; Neurology ; Neurosurgery ; NMR ; Nuclear magnetic resonance ; Posterior approach ; Respiratory deterioration ; Respiratory distress syndrome ; Respiratory Insufficiency - etiology ; Retrospective Studies ; Risk ; Risk Assessment ; Spinal cord injuries ; Spinal Fusion - methods ; Spinal Injuries - surgery ; Spondylolisthesis - complications ; Spondylolisthesis - surgery ; Tomography ; Treatment Outcome ; Ventilation ; Young Adult ; Zygapophyseal Joint</subject><ispartof>Clinical neurology and neurosurgery, 2014-08, Vol.123, p.96-101</ispartof><rights>Elsevier B.V.</rights><rights>2014 Elsevier B.V.</rights><rights>Copyright © 2014 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Limited 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-eff0be192bd84ab03dab95cd482d3af12ea73827e30702278c6291574aec06833</citedby><cites>FETCH-LOGICAL-c484t-eff0be192bd84ab03dab95cd482d3af12ea73827e30702278c6291574aec06833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25012020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ye, Zhe-Wei</creatorcontrib><creatorcontrib>Yang, Shu-Hua</creatorcontrib><creatorcontrib>Chen, Bao-Jun</creatorcontrib><creatorcontrib>Xiong, Li-Ming</creatorcontrib><creatorcontrib>Xu, Jian-Zhong</creatorcontrib><creatorcontrib>He, Qing-Yi</creatorcontrib><title>Treatment of traumatic spondylolisthesis of the lower cervical spine with concomitant bilateral facet dislocations: Risk of respiratory deterioration</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>Abstract Background This study aimed to retrospectively examine 36 cases of bilateral cervical facet dislocations (BCFD) of the lower cervical spine who were at risk for respiratory deterioration. Methods The cases of 36 subjects with BCFD of the lower cervical spine who failed to achieve closed reduction were retrospectively studied. The extents of neurological injuries included posterior neck pain without neurological deficit ( n = 2), incomplete spinal cord injury (ISCI) ( n = 21), and complete spinal cord injury (CSCI) ( n = 13). Results Among the subjects, 26 (72.22%) had dyspnea, 6 required mechanical ventilation due to respiratory muscle paralysis, 11 required tracheostomy, and 9 required intubation. All patients received posterior approach reduction, stabilization, and fusion treatment for BCFD in one operative session. For the 26 quadriparetic patients with dyspnea, priority was given to treating their respiratory problems. For the other 10 patients without dyspnea, surgical treatment for irreducible lower cervical spine dislocation was given priority. After an average follow-up period of 63 months, 21 complications were found, but all patients exhibited fusion. Twenty-one patients with ISCI exhibited improvements in their conditions of 1 or 2 grades on the American Spinal Injury Association scale, whereas those with CSCI did not improve. All 26 apnea cases improved. The majority (26) of the 36 cases with BCFD of the lower cervical spine suffered dyspnea. Conclusions Although further study is required, our study suggests that the posterior surgical approach to the cervical spine is safe and effective for patients with traumatic spondylolisthesis of the lower cervical spine concomitant with BCFD who are at risk of respiratory deterioration.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cervical facet dislocations</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infections</subject><subject>Intubation</subject><subject>Joint Dislocations - complications</subject><subject>Joint Dislocations - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Posterior approach</subject><subject>Respiratory deterioration</subject><subject>Respiratory distress syndrome</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Spinal cord injuries</subject><subject>Spinal Fusion - methods</subject><subject>Spinal Injuries - surgery</subject><subject>Spondylolisthesis - complications</subject><subject>Spondylolisthesis - surgery</subject><subject>Tomography</subject><subject>Treatment Outcome</subject><subject>Ventilation</subject><subject>Young Adult</subject><subject>Zygapophyseal Joint</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNks9u1DAQxi0EokvhFSpLXLhkGf-Jk3BAoApapEpIUM6W40y03ibxYjut9kF4X5zdFqReQBrJB_--z575hpAzBmsGTL3dru3gJpyDX3Ngcg25GDwhK1ZXvFCNqp-SFQgQRS1VdUJexLgFACFU_Zyc8BIYBw4r8us6oEkjTon6nqZg5tEkZ2nc-anbD35wMW0wuni43iAd_B0GajHcOmuGzOVf0DuXNtT6yfrRJZO9WjeYhCEDvbGYaOfi4G129lN8R7-5eLP4BczyYJIPe9ph5p0PB-YledabIeKr-_OU_Pj86fr8srj6evHl_ONVYWUtU4F9Dy2yhrddLU0LojNtU9pO1rwTpmccTSVqXqGACjivaqt4w8pKGrSgaiFOyZuj7y74nzPGpEcXLQ6DmdDPUbOyZIqrPNP_QGXJGhAH19eP0K2fw5QbWSgpmeS8zJQ6Ujb4GAP2ehfcaMJeM9BLxnqrHzLWS8YacjHIwrN7-7kdsfsjewg1Ax-OAObR3ToMOlqHk8XOBbRJd979-433jywWbEn8BvcY__ajI9egvy-btiwakwBsmcFvHEfTXw</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Ye, Zhe-Wei</creator><creator>Yang, Shu-Hua</creator><creator>Chen, Bao-Jun</creator><creator>Xiong, Li-Ming</creator><creator>Xu, Jian-Zhong</creator><creator>He, Qing-Yi</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Treatment of traumatic spondylolisthesis of the lower cervical spine with concomitant bilateral facet dislocations: Risk of respiratory deterioration</title><author>Ye, Zhe-Wei ; Yang, Shu-Hua ; Chen, Bao-Jun ; Xiong, Li-Ming ; Xu, Jian-Zhong ; He, Qing-Yi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-eff0be192bd84ab03dab95cd482d3af12ea73827e30702278c6291574aec06833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cervical facet dislocations</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infections</topic><topic>Intubation</topic><topic>Joint Dislocations - complications</topic><topic>Joint Dislocations - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Posterior approach</topic><topic>Respiratory deterioration</topic><topic>Respiratory distress syndrome</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>Spinal cord injuries</topic><topic>Spinal Fusion - methods</topic><topic>Spinal Injuries - surgery</topic><topic>Spondylolisthesis - complications</topic><topic>Spondylolisthesis - surgery</topic><topic>Tomography</topic><topic>Treatment Outcome</topic><topic>Ventilation</topic><topic>Young Adult</topic><topic>Zygapophyseal Joint</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ye, Zhe-Wei</creatorcontrib><creatorcontrib>Yang, Shu-Hua</creatorcontrib><creatorcontrib>Chen, Bao-Jun</creatorcontrib><creatorcontrib>Xiong, Li-Ming</creatorcontrib><creatorcontrib>Xu, Jian-Zhong</creatorcontrib><creatorcontrib>He, Qing-Yi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ye, Zhe-Wei</au><au>Yang, Shu-Hua</au><au>Chen, Bao-Jun</au><au>Xiong, Li-Ming</au><au>Xu, Jian-Zhong</au><au>He, Qing-Yi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of traumatic spondylolisthesis of the lower cervical spine with concomitant bilateral facet dislocations: Risk of respiratory deterioration</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>123</volume><spage>96</spage><epage>101</epage><pages>96-101</pages><issn>0303-8467</issn><eissn>1872-6968</eissn><coden>CNNSBV</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Article-2</notes><notes>ObjectType-Feature-1</notes><abstract>Abstract Background This study aimed to retrospectively examine 36 cases of bilateral cervical facet dislocations (BCFD) of the lower cervical spine who were at risk for respiratory deterioration. Methods The cases of 36 subjects with BCFD of the lower cervical spine who failed to achieve closed reduction were retrospectively studied. The extents of neurological injuries included posterior neck pain without neurological deficit ( n = 2), incomplete spinal cord injury (ISCI) ( n = 21), and complete spinal cord injury (CSCI) ( n = 13). Results Among the subjects, 26 (72.22%) had dyspnea, 6 required mechanical ventilation due to respiratory muscle paralysis, 11 required tracheostomy, and 9 required intubation. All patients received posterior approach reduction, stabilization, and fusion treatment for BCFD in one operative session. For the 26 quadriparetic patients with dyspnea, priority was given to treating their respiratory problems. For the other 10 patients without dyspnea, surgical treatment for irreducible lower cervical spine dislocation was given priority. After an average follow-up period of 63 months, 21 complications were found, but all patients exhibited fusion. Twenty-one patients with ISCI exhibited improvements in their conditions of 1 or 2 grades on the American Spinal Injury Association scale, whereas those with CSCI did not improve. All 26 apnea cases improved. The majority (26) of the 36 cases with BCFD of the lower cervical spine suffered dyspnea. Conclusions Although further study is required, our study suggests that the posterior surgical approach to the cervical spine is safe and effective for patients with traumatic spondylolisthesis of the lower cervical spine concomitant with BCFD who are at risk of respiratory deterioration.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>25012020</pmid><doi>10.1016/j.clineuro.2014.04.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Cervical facet dislocations Female Hospitals Humans Infections Intubation Joint Dislocations - complications Joint Dislocations - surgery Male Middle Aged Neurology Neurosurgery NMR Nuclear magnetic resonance Posterior approach Respiratory deterioration Respiratory distress syndrome Respiratory Insufficiency - etiology Retrospective Studies Risk Risk Assessment Spinal cord injuries Spinal Fusion - methods Spinal Injuries - surgery Spondylolisthesis - complications Spondylolisthesis - surgery Tomography Treatment Outcome Ventilation Young Adult Zygapophyseal Joint |
| title | Treatment of traumatic spondylolisthesis of the lower cervical spine with concomitant bilateral facet dislocations: Risk of respiratory deterioration |
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