Management of Neglected Post-traumatic Bilateral Facet Dislocation of Sub-axial Cervical Spine: A Case Series

Abstract

Neglected bilateral facet dislocation of the lower cervical spine is a rare condition and found mostlyin developing countries like Nepal. Delayed presentation makes treatment more challengingconcerning decompression, reduction, neurological recovery, and overall outcome. We managedthree cases of bilateral facet dislocations of the fifth-sixth-seventh cervical vertebra level presentedafter three months of injury. All of those were treated surgically by combined anterior-posterioranterior approaches with the same principle. One patient had a complete neurological recovery, thesecond one recovered partially with few long-term complications and the third one did not improveat all.