Asian Spine J.  2013 Jun;7(2):111-114. 10.4184/asj.2013.7.2.111.

Treatment of Irreducible Bilateral Cervical Facet Fracture-Dislocation with a Prolapsed Disc Using a Prefixed Polyetheretherketone Cage and Plate System

Affiliations
  • 1Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. osdr2815@naver.com
  • 2Department of Orthopedic Surgery, Gwangju Veteran Hospital, Gwangju, Korea.

Abstract

When anterior reduction fail in the surgical treatment of cervical bilateral facet fracture-dislocation with concomitant disc extrusion, it is necessary to perform a reduction using a posterior approach and then a third anterior procedure is often necessary to accomplish the anterior reconstruction. This presents difficulties for both patients and surgeons because of the need for frequent position changes (supine-prone-supine). The purpose of this study is to illustrate a modified surgical technique, which is anterior reduction and fixation with a prefixed polyetheretherketone (PEEK) cage to a buttress plate for the treatment of irreducible bilateral cervical facet fracture-dislocation with a prolapsed disc is an enhancing technique for the stability of the interbody graft than a buttress plate alone because the PEEK cage has more fixation power and reduces both the number of position changes and the length of the operation.

Keyword

Fracture dislocation; Cage; Anterior reduction

MeSH Terms

Humans
Intervertebral Disc Displacement
Ketones
Polyethylene Glycols
Transplants
Ketones
Polyethylene Glycols
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