{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T18:43:04Z","timestamp":1776710584701,"version":"3.51.2"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,7]]},"abstract":"\n Study Design:<\/jats:title>\n Prospective study.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To evaluate the role of the canal and vertebrae sagittal diameter (C\/V) ratio in the treatment of old dislocations of the lower cervical spine.<\/jats:p>\n <\/jats:sec>\n \n Summary of Background Data:<\/jats:title>\n Few studies have reported the management of old dislocations of the lower cervical spine. Conservative treatments including the use of a Halo vest, neck brace, and prolonged traction have been problematic. Operative treatment consisted of a primary or staged reduction and fusion using an anterior, posterior, or combined approach.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Fourteen consecutive patients with old dislocations of the lower cervical spine were included in this series. The preoperative C\/V value was calculated based on the measurement on the neutral sagittal computed tomography at the most narrow place of the dislocated segments. Closed reduction was attempted in 9 patients with moderate stenosis (C\/V>0.5). Five patients with severe stenosis (C\/V\u22640.5) were treated with a primary combined anterior and posterior operation. Patient\u2019s radiographic information, pain, and neurological function were assessed and recorded before and after surgery.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Closed reduction followed by anterior cervical discectomy and fusion was performed in 3 of 9 patients with moderate stenosis. Eleven patients underwent circumferential release, posterior reduction, and fixation followed by anterior fusion. No severe complications were found. The average operative time was 138\u00b143 minutes. The average blood loss was 239\u00b1140 mL. The postoperative C\/V value was significantly increased. The neurological status improved at least one grade in all 13 neurologically impaired cases except for 2 who had complete spinal cord injuries. Bony fusion was obtained in all patients at 1-year follow-up.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The C\/V value plays an important role in determining surgical solutions for old lower cervical dislocations with locked facets. Favorable clinical outcomes can be achieved using closed reduction and surgical procedures with anterior or anterior plus posterior approaches.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bsd.0000000000000066","type":"journal-article","created":{"date-parts":[[2013,12,16]],"date-time":"2013-12-16T10:02:48Z","timestamp":1387188168000},"page":"E319-E324","source":"Crossref","is-referenced-by-count":8,"title":["Surgical Management of Old Lower Cervical Dislocations With Locked Facet"],"prefix":"10.1097","volume":"29","author":[{"given":"Xingjie","family":"Jiang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Yao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoqing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junjie","family":"Guan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230831","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.2106\/00004623-197961080-00001","article-title":"Acute fractures and dislocations of the cervical spine: an analysis of three hundred patients and review of the literature","volume":"61-A","author":"Bohlman","year":"1979","journal-title":"J Bone Joint Surg Am"},{"key":"R2-20230831","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/01.ta.0000196673.58429.2a","article-title":"Delayed or missed diagnosis of cervical spine injuries","volume":"61","author":"Platzer","year":"2006","journal-title":"J Trauma"},{"key":"R3-20230831","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/00005373-199303000-00006","article-title":"The etiology of missed cervical spine injuries","volume":"34","author":"Davis","year":"1993","journal-title":"J Trauma"},{"key":"R4-20230831","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1097\/00005373-199112000-00010","article-title":"Delayed diagnosis of cervical spine injuries","volume":"31","author":"Gerrelts","year":"1991","journal-title":"J Trauma"},{"key":"R5-20230831","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1007\/s00586-004-0688-2","article-title":"Fracture dislocations of the cervical spine: a review of 106 conservatively and operatively treated patients","volume":"13","author":"Koivikko","year":"2004","journal-title":"Eur Spine J"},{"key":"R6-20230831","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1302\/0301-620X.74B2.1544956","article-title":"Progressive paralysis after bilateral facet dislocation of the cervical spine","volume":"75","author":"Mahale","year":"1992","journal-title":"J Bone Joint Surg Br"},{"key":"R7-20230831","doi-asserted-by":"crossref","first-page":"362","DOI":"10.3171\/spi.2002.97.3.0362","article-title":"Delayed management of traumatic bilateral cervical facet dislocation: surgical strategy. Report of three cases","volume":"97","author":"Bartels","year":"2002","journal-title":"J Neurosurg Spine"},{"key":"R8-20230831","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1302\/0301-620X.92B2.22963","article-title":"Neglected traumatic dislocation of the subaxial cervical spine","volume":"92","author":"Jain","year":"2010","journal-title":"J Bone Joint Surg Br"},{"key":"R9-20230831","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1097\/BRS.0b013e318175c2fb","article-title":"A novel operative approach for the treatment of old distractive flexion injuries of subaxial cervical spine","volume":"33","author":"Liu","year":"2008","journal-title":"Spine"},{"key":"R10-20230831","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s00264-002-0350-8","article-title":"Treatment of old dislocations of the lower cervical spine","volume":"26","author":"Hassan","year":"2002","journal-title":"Int Orthop"},{"key":"R11-20230831","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/j.jocn.2006.04.021","article-title":"Delayed surgical management of a traumatic bilateral cer-vical facet dislocation by an anterior-posterior-anterior approach","volume":"14","author":"Payer","year":"2007","journal-title":"J Clin Neurosci"},{"key":"R12-20230831","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.3928\/0147-7447-19981001-07","article-title":"Cervical facet dislocation: management following delayed diagnosis","volume":"21","author":"Kahn","year":"1998","journal-title":"Orthopedics"},{"key":"R13-20230831","doi-asserted-by":"crossref","first-page":"884","DOI":"10.3171\/jns.1989.70.6.0884","article-title":"Halo vest versus spinal fusion for cervical injury: evidence from an outcome study","volume":"70","author":"Bucholz","year":"1989","journal-title":"J Neurosurg"},{"key":"R14-20230831","doi-asserted-by":"crossref","first-page":"1866","DOI":"10.1097\/00007632-200109010-00009","article-title":"Magnetic resonance imaging analysis of soft tissue disruption after flexion-distraction injuries of the subaxial cervical spine","volume":"26","author":"Vaccaro","year":"2001","journal-title":"Spine"},{"key":"R15-20230831","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1097\/00007632-199510001-00003","article-title":"Biomechanical evaluation of cervical spine stabilization methods using a porcine model","volume":"20","author":"Richman","year":"1995","journal-title":"Spine"},{"key":"R16-20230831","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.jocn.2005.11.052","article-title":"Spinal instrumentation for interfacet locking injuries of the subaxial cervical spine","volume":"14","author":"Mizuno","year":"2007","journal-title":"Clin Neurosci"},{"key":"R17-20230831","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1302\/0301-620X.75B3.8496208","article-title":"Neurological complications of the reduction of cervical spine dislocations","volume":"75","author":"Mahale","year":"1993","journal-title":"J Bone Joint Surg Br"},{"key":"R18-20230831","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1097\/00002517-199512000-00015","article-title":"Old injuries of the lower cervical spine treated surgically","volume":"8","author":"Korres","year":"1995","journal-title":"J Spinal Disorders"}],"container-title":["Clinical Spine Surgery: A Spine Publication"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/01933606-201607000-00016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T18:17:27Z","timestamp":1693505847000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01933606-201607000-00016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/bsd.0000000000000066","relation":{},"ISSN":["2380-0186"],"issn-type":[{"value":"2380-0186","type":"print"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}