Faculty Collaboration Database

Management of Acute Unilateral Nondisplaced Subaxial Cervical Facet Fractures. Oper Neurosurg (Hagerstown) 2018 Feb 01;14(2):104-111

Date

06/24/2017

Pubmed ID

28637303

DOI

10.1093/ons/opx069

Scopus ID

2-s2.0-85041500729 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

BACKGROUND: Few studies have focused on the management of patients with nondisplaced cervical facet fractures.

OBJECTIVE: To determine the rate of successful nonoperative management and risk factors for instability in patients with acute traumatic, unilateral, nondisplaced cervical facet fractures.

METHODS: We reviewed patients with single or multilevel unilateral nondisplaced or minimally displaced subaxial cervical facet fractures between 2008 and 2014. Facet fractures were classified as type A1 fractures: superior facet fracture of caudal vertebra; type A2: inferior facet fracture of rostral vertebral; and type A3: floating lateral mass (fracture of pedicle and vertical laminar fracture). All patients were given a trial of nonoperative management with external immobilization using a hard cervical collar. Follow-up clinical data and cervical spine radiographs were analyzed to determine factors associated with instability.

RESULTS: Thirty-five patients (34 males, mean age 40.2 ± 2.4 yr) were reviewed. The mean follow-up duration was 2.7 ± 0.4 mo. The distribution of fracture types was type A1 (n = 15), type A2 (n = 4), type A3 (n = 5), type A1 and A2 fractures (n = 10), and type A1 and A3 fractures (n = 1). Nonoperative management was successful in 29 patients (82.9%), and 6 patients developed instability requiring surgery. All patients who failed nonoperative management had associated injuries suggesting a more severe mechanism of injury. No significant association was found between the type of facet fracture and outcome (Fisher's exact test, P = .18).

CONCLUSION: In our series, more than 80% of the patients with unilateral, nondisplaced cervical facet fractures underwent successful nonoperative management in the short term.

Author List

Vedantam A, Fridley JS, Navarro JC, Gopinath SP

Author

Aditya Vedantam MD Assistant Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Braces
Cervical Vertebrae
Disease Management
Female
Follow-Up Studies
Humans
Male
Middle Aged
Restraint, Physical
Retrospective Studies
Risk Factors
Spinal Fractures
Treatment Outcome
Wounds, Nonpenetrating
Young Adult
Zygapophyseal Joint