Evidence map›Paper›PMID 41971226›Full record

ArticleCase reports in neurology

Traumatic C6-C7 Fracture-Dislocation with Surgical Correction of Anterior Hardware Fusion Failure and Neglected Locked Facet: A Case Report and Literature Review.

Pedro Luiz Ribeiro Carvalho de Gouvea, Pedro Henrique da Costa Ferreira-Pinto, Domênica Baroni Coelho de Oliveira Ferreira, Camila de Oliveira Ribeiro, Armando Yoshimitsu Hamada, Leonardo Antunes Miguez, César Batista Gonçalves da Cruz, Eduardo Mendes Correa, George da Silva Divério Junior, Flávio Nigri

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In one paragraph

Article in Case reports in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Pedro Luiz Ribeiro Carvalho de GouveaPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Pedro Henrique da Costa Ferreira-PintoPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Domênica Baroni Coelho de Oliveira FerreiraPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Camila de Oliveira RibeiroPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Armando Yoshimitsu HamadaPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Leonardo Antunes MiguezGetúlio Vargas State Hospital, Rio de Janeiro, Brazil.
César Batista Gonçalves da CruzGetúlio Vargas State Hospital, Rio de Janeiro, Brazil.
Eduardo Mendes CorreaPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
George da Silva Divério JuniorPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Flávio NigriPedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The cervical spine represents the most common site of spinal trauma, typically associated with vertebrae dislocation with locked facets. Accurate assessment of the entire spine is essential to prevent diagnostic and therapeutic failures. Here, we present a case of a patient with C6-C7 dislocation who underwent two unsuccessful surgical procedures, highlighting the technical challenges associated with revision surgery and persistent facet locking. Case Description: A 26-year-old male arrived at an emergency hospital after a motorcycle accident with paraplegia, C6 roots strength grade 2, and C7, C8, and T1 paralysis. The cervical computed tomography scan revealed C6-C7 dislocation, left C7-T1 locked facet, and right C6-C7 facet subluxation. After two unsuccessful surgical procedures, a combined 540-degree posterior-anterior-posterior (P-A-P) approach was performed. After the combined P-A-P cervical spine approach, the patient remained paraplegic, with no further neurological deterioration during follow-up. Conclusion: Early diagnosis and management of locked facets is crucial to avoid unstable constructions and subsequently hardware failure in patients with cervical spinal trauma.

Indexed as

Case reportCervical facet dislocationHardware failureLocked facetNeglected

Identifiers

PMID41971226
PMCPMC13068387

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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.