The surgical treatment of subaxial acute cervical spine facet dislocations in adults: a systematic review and meta-analysis.
Neurosurg Rev
; 45(4): 2659-2669, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-35596874
Adult cervical spine traumatic facet joint dislocations occur when excessive traumatic forces displace the vertebrae's facets, leading to loss of joint congruence. Reduction requires either cranial traction or open surgical procedures. This study aims to appraise the effects of different surgical techniques in the treatment of subaxial cervical spine acute traumatic facet blocks in adults. This study was based on a systematic literature review and meta-analysis, registered in Prospero (CRD42021279249). The PICO question was composed of adults with acute cervical spine traumatic facet dislocations submitted to anterior or posterior surgical approaches, associated or not with cranial traction for reduction. Each surgical technique was compared to the other. The primary clinical outcomes included neurological improvement or worsening and surgical success/failure rates. The anterior approach without cranial traction was efficient in reducing facet displacements. Skull traction was an efficient and immediate method to achieve spine dislocation reductions. Differences were not present among techniques regarding neurological improvement. There were no surgical failures in patients operated on via the posterior approach. The need to decompress and stabilize the cervical spine can be achieved by anterior or posterior surgical approaches, and there is no clear answer as to which initial approach is superior to the other.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fusão Vertebral
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Traumatismos da Coluna Vertebral
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Articulação Zigapofisária
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Luxações Articulares
Tipo de estudo:
Systematic_reviews
Limite:
Adult
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Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article