Cervical locked facet treatment [Neurosurgery Wiki]

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====== Cervical locked facet treatment ======

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A nonoperative cervical orthosis or external immobilization (6-12 weeks) in facet fractures without significant subluxation, dislocation, or kyphosis.

===== Reduction =====

[[Traumatic disc herniation]] in cervical facet dislocations is not an absolute contraindication of cranial-cervical traction or posterior open reduction. Early realignment of the spine could bring more neurological benefits than waiting for an MRI or surgical discectomy. However, caution is needed until prospective and well-designed studies are performed
((Onishi FJ, Daniel JW, Joaquim AF, Evangelista AC, de Freitas Bertolini E, Dantas FR, Neto ER, Mudo ML, Brock R, Milano JB, Botelho RV. The impact of traumatic herniated discs in cervical facets dislocations treatments: systematic review and meta-analysis. Eur Spine J. 2022 Oct;31(10):2664-2674. doi: 10.1007/s00586-022-07290-z. Epub 2022 Jun 28. PMID: 35763222.)).
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===== Closed reduction of locked facets =====

see [[Closed reduction of locked facets]].

===== Open reduction of locked facets =====

see [[Open reduction of locked facets]].