ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Traumatic bilateral cervical facet dislocation:a comprehensive review and evidence-based treatment algorithm.
Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTraumatic bilateral cervical facet dislocation (BFD) represents a high-energy, highly unstable spinal injury with a significant risk of neurological compromise. BFD poses substantial diagnostic and therapeutic challenges across the acute-to-delayed care continuum. Variability in injury morphology, timing of presentation, and patient factors often leads to wide discrepancies in clinical management.
methodsThis review synthesizes biomechanical principles, diagnostic protocols, classification systems, and surgical strategies from the available literature, with critical appraisal of anterior, posterior, and circumferential approaches. We identify key clinical inflection points, such as the presence of disc extrusion, endplate fracture, irreducibility, and chronicity, that determine optimal intervention. Imaging modalities including CT, MRI, and CT angiography are reviewed in context, and the role of pre-reduction MRI is highlighted in risk mitigation.
resultsA novel treatment algorithm is presented, integrating radiographic findings, neurological status, and timing. In neurologically intact patients with reducible injuries, anterior decompression and fixation offers a safe and efficient pathway. In delayed or fixed dislocations, posterior-first or staged approaches may be necessary, particularly when osteotomies or circumferential correction is warranted. Closed reduction is addressed with caution due to risk of cord injury, especially in the absence of pre-reduction imaging.
conclusionThis article offers a practical framework for spine surgeons navigating the rare but high-stakes scenario of BFD. By consolidating contemporary evidence with expert interpretation, we provide a structured pathway to improve safety, consistency, and neurological outcomes.
Indexed as
Identifiers
41207973What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.