{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:48:14Z","timestamp":1775720894129,"version":"3.50.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Subaxial cervical spine injuries are common following high-energy trauma; however, bilateral facet dislocation at C5\u2013C6 associated with central cord syndrome (CCS) is rare. Such injuries demand early diagnosis and timely surgical intervention to optimize neurological recovery.\n\nCase Report: A 63-year-old male presented with neck pain and quadriparesis following a fall from a height of 6 feet under the influence of alcohol. Neurological examination revealed upper limb weakness more severe than lower limbs, consistent with CCS. Imaging showed C5\u2013C6 fracture dislocation with bilateral locked facets and spinal cord compression. Closed reduction using Gardner\u2013Wells skull traction was followed by staged posterior lateral mass fixation and anterior cervical discectomy with fusion. The patient showed significant neurological improvement postoperatively.\n\nConclusion: Early reduction and staged surgical stabilization in C5\u2013C6 bilateral facet dislocation with CCS leads to favorable neurological outcomes, especially in elderly patients with pre-existing cervical degeneration.\n\nKeywords: Cervical spine trauma, facet dislocation, central cord syndrome, subaxial spine injury, quadriparesis.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i04.7116","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T06:59:46Z","timestamp":1775717986000},"page":"268-272","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of C5\u2013C6 Bilateral Facetal Dislocation with Central Cord Syndrome Managed by Staged Stabilization"],"prefix":"10.13107","volume":"16","author":[{"given":"Soumyamay","family":"Mukherjee","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Government Roypettah Hospital, Chennai, Tamil Nadu, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K Pradeep","family":"Pandian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Government Taluk Headquarters Hospital, Nagercoil, Tamil Nadu, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishnu","family":"Senthil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Government Roypettah Hospital, Chennai, Tamil Nadu, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T06:59:46Z","timestamp":1775717986000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/04\/a-rare-case-of-c5-c6-bilateral-facetal-dislocation-with-central-cord-syndrome-managed-by-staged-stabilization\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i04.7116","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}