{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:31:20Z","timestamp":1783776680609,"version":"3.55.0"},"reference-count":28,"publisher":"SLACK, Inc.","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:p>Facet dislocations in children are rare. This article presents the youngest case of a unilateral facet dislocation described in the pediatric population. A 9-year-old boy sustained a flexion\/axial loading injury to his cervical spine while wrestling with his friends, causing a unilateral facet dislocation at C4\/5. Prereduction magnetic resonance imaging (MRI) demonstrated the absence of a diskal herniation or cord impingement and an intact posterior ligamentous complex. Due to the patient\u2019s young age, the decision was made to forgo a supervised awake closed reduction. Closed reduction was performed under general anesthesia with somatosensory-evoked potential and motor-evoked potential monitoring. Closed reduction was successfully achieved after Gardner-Wells tongs were applied and used to manually direct slow, steady in-line traction, along with slight flexion and posterior rotation of the dislocated side under direct fluoroscopy.<\/jats:p>\n          <jats:p>The patient was immediately awakened from anesthesia and was found to have an intact sensory examination. He was immobilized in a cervical collar for 12 weeks. At 2-year follow-up, he remained asymptomatic without recurrence and had painless full range of motion of the cervical spine. Radiographs revealed a normally aligned cervical spine.<\/jats:p>\n          <jats:p>Unilateral cervical facet dislocations and subluxations are the result of a distractionflexion force applied to the spine along with a rotational component. These are not uncommon injuries in the adult spine; however, in the young pediatric population, cervical facet dislocations are rare.<\/jats:p>","DOI":"10.3928\/01477447-20101021-31","type":"journal-article","created":{"date-parts":[[2010,12,16]],"date-time":"2010-12-16T20:06:13Z","timestamp":1292529973000},"source":"Crossref","is-referenced-by-count":12,"title":["Unilateral Cervical Facet Dislocation in a 9-Year-Old Boy"],"prefix":"10.3928","volume":"33","author":[{"given":"Stephen A.","family":"Parada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward D.","family":"Arrington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurtis L.","family":"Kowalski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Molinari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.20720"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(87)80171-3"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1987.04460020089033"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.20022"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90850-S"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000120476"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199406000-00003"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1988.68.1.0018"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199307000-00004"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199030040-00017"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197711000-00020"},{"issue":"2","key":"e_1_3_1_13_2","first-page":"73","article-title":"Pediatric cervical spine injuries","volume":"5","author":"Herzenberg JE","year":"1989","unstructured":"Herzenberg JE, Hensinger RN. 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The stability of the cervical spine following the conservative treatment of fractures and fracture-dislocations. 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