Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation: a narrative review and proposed treatment algorithm.

IF 4.3 2区医学 Q1 ORTHOPEDICS

Efort Open Reviews Pub Date : 2024-03-05 DOI:10.1530/EOR-23-0161

Juan Ignacio Cirillo, Guillermo A Ricciardi, Facundo Lisandro Alvarez Lemos, Alfredo Guiroy, Ratko Yurac, Klaus Schnake

引用次数: 0

Abstract

Isolated cervical spine facet fractures are often overlooked. The primary imaging modality for diagnosing these injuries is a computed tomography scan. Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation remains controversial. The available evidence regarding treatment options for these fractures is of low quality. Risk factors associated with the failure of nonoperative treatment are: comminution of the articular mass or facet joint, acute radiculopathy, high body mass index, listhesis exceeding 2 mm, fragmental diastasis, acute disc injury, and bilateral fractures or fractures that adversely affect 40% of the intact lateral mass height or have an absolute height of 1 cm.

查看原文本刊更多论文

无脱位或半脱位证据的单侧颈椎面骨骨折的治疗：叙述性综述和建议的治疗算法。

孤立性颈椎面骨骨折经常被忽视。诊断这些损伤的主要成像方式是计算机断层扫描。对于无脱位或半脱位证据的单侧颈椎面骨骨折的治疗仍存在争议。有关这些骨折治疗方案的现有证据质量不高。与非手术治疗失败相关的风险因素包括：关节肿块或面关节粉碎、急性根性神经病、体重指数高、畸形超过2毫米、骨折片松弛、急性椎间盘损伤、双侧骨折或骨折对完整侧块高度的40%造成不利影响或绝对高度达到1厘米。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Efort Open Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

6.60

自引率

2.90%

发文量

101

审稿时长

13 weeks

期刊介绍： EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.