Bilateral cervical locked facets

Case contributed by Dr Chris O'Donnell

Presentation

Motorbike accident, unable to move legs

Patient Data

Age: 25
Gender: Male

Bilateral anterior dislocation of the facet joints (C6-C7 level) causing gross distorsion to the spinal canal. No fracture.

Case Discussion

The findings are compatible with bilateral locked facets.

Locked facets occurs when, after a injury of the apophyseal joint ligaments and facet joint dislocation, the inferior articular facet of superior vertebral body is locked in front of the superior facet of the inferior vertebral body. In effect, it causes some stabilisation of the spine and protect against further injury. 

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Case information

rID: 21424
Case created: 22nd Jan 2013
Last edited: 18th Nov 2015
Inclusion in quiz mode: Included

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