Unilateral facet dislocation

Case contributed by Irvine Sihlahla
Diagnosis certain

Presentation

History of motor vehicle accident 1 month ago with neck pain, left-sided upper limb weakness and sensory loss.

Patient Data

Age: 30 years
Gender: Male
mri

C5 on C6 grade 1 anterolisthesis with disc uncovering, unilateral left facet fracture-dislocation with moderate foraminal narrowing. No cord edema or intraspinal hematoma.

 

CT confirm left C5/C6 perched unilateral facet dislocation with associated facet fracture and a small minimally displaced fracture fragment. The fracture does not extend to the foramen transversarium.

x-ray

C5 on C6 grade 1 anterolisthesis and loss of congruency involving the C5/C6 facet joint. No significant prevertebral soft tissue swelling.

Case Discussion

The case demonstrates perched unilateral facet dislocation associated with facet fracture. No traumatic cord injury or intraspinal hematoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.