Die Rotationssubluxation der Halswirbelsäule

Unilateral facet rotational dislocation of cervical spine

Summary

Unilateral cervical dislocations are less common and have fewer accompanying neurological complications than bilateral. A case of unilateral rotational dislocated facet has been described. Postoperatively, all deficts were improved. According to the literature, the diagnosis of this entity is often missed and the treatment is controversial.

Zusammenfassung

Einseitige Luxationen der Halswirbelsäule sind wesentlich seltener und weniger häufig mit neurologischen Defiziten vergesellschaftet als bilaterale. Anhand einer Kasuistik wird eine einseitige Rotationsdislokation der Facettengelenke der Halswirbelsäule dokumentiert. Nach ventro-dorso-ventraler Spondylodese war der Patient beschwerdefrei. Eine korrekte Diagnose wird in diesen Fällen häufig verfehlt bei zudem kontroverser therapeutischer Vorgehensweise.

Key words

Cervical vertebrae - dislocations - unilateral

Schlüsselwörter

Halswirbelsäule - Luxation - einseitig

Literatur

• 1 Andreshak J L, Dekutoski M B. Management of unilateral facet dislocations: a review of the literature.  Orthopedics. 1997;  20 917-926
• 2 Beatson T R. Fractures and dislocations of the cervical spine.  J Bone Joint Surg [Br]. 1963;  45 21-35
• 3 Beyer C A, Cabanela M E, Berquist Th. Unilateral facet dislocations and fracture-dislocations of the cervical spine.  J Bone Joint Surg [Br]. 1991;  73 977-981
• 4 Bohlmann H H. Complications of treatment of fractures and dislocations of the cervical spine. In: Epps CH (ed.) Complications in orthopaedic surgery. Lippincott; Philadelphia, pp 611-641
• 5 Braakman R, Vinken P J. Unilateral facet interlocking in the lower cervical spine.  J Bone Joint Surg [Br]. 1967;  49 249-257
• 6 Burke D C, Berryman D. The oplace of closed manipulation in the management of flexion-rotation dislocations of cervical spine.  J Bone Joint Surg [Br]. 1971;  53 165-182
• 7 Cheshire D J E. The stability of the cervical spine following the conservative treatment of fractures and fracture dislocations.  Paraplegia. 1969;  7 193-203
• 8 Cotler H B, Miller L S, DeLucia F A, Cotler J M. Closed reduction of cervical spine dislocations.  Clin Orthop. 1978;  214 185-199
• 9 Crutchfield W G. Skeletal traction for dislocation of cervical spine.  South Surg. 1933;  2 156-159
• 10 Ostl O L, Fraser R D, Griffiths E R. Reduction and stabilization of cervical dislocations. An analysis of 167 cases.  J Bone Joint Surg [Br]. 1989;  71 275-282
• 11 Pasciak M, Doniec J. Results of conservative treatment of unilateral cervical spine dislocations.  Arch Orthop Trauma Surg. 1993;  112 226-227
• 12 Rorabeck C H, Rock M G, Hawkins R J, Bourne R B. Unilateral facet dislocation of the cervical spine. An analysis of the results of treatment in 26 patients.  Spine. 1987;  12 23-27
• 13 Schwarz N. Die verhakte Rotationssubluxation der Halswirbelsäule.  Unfallchirurg. 1992;  95 367-374
• 14 Shapiro S A. Management of unilateral locked facet of the cervical spine.  Neurosurgery. 1993;  33 832-837
• 15 Sonntag V K, Hadley M N. Nonoperative management of cervical spine injuries.  Clin Neurosurg. 1988;  34 630-649
• 16 Verbiest H. Anterolateral operations for fractures and dislocations in the middle and lower parts of the cervical spine. Report of a series of forty-seven cases.  J Bone Joint Surg [Am]. 1969;  51 1489-1530
• 17 Vital J M, Gille O, Pointillart V. Reduction technique for uni- and biarticular dislocations of the lower cervical spine.  Spine. 1998;  23 949-954