Unilateral facet joint dislocation and fracture

Case contributed by Dr Lee-Anne Slater

Presentation

61 year old man fell of a 4m ladder 1 week prior. CT done on initial presentation to hospital normal so patient discharged. A week after the fall the patient was bruashing their teeth and then heard a crack. The following images were obtained on representation.

Patient Data

Age: 61 yrs
Gender: Male
Modality: X-ray

Cervical Spine x-ray demonstrates anterolisthesis of C4 on C5. This is associated with disruption of the spinolaminar line. The facet joints at this level are also noted to be assymetrical.

There is also incidental congenital fusion of C2 and C3.

CT imaging confirms dislocation of the left facet joint with an associated fracture.

The rotatory effect of the unitlateral dislocation is seen on the axial CT images

Case Discussion


 

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Case Information

rID: 12888
Case created: 28th Jan 2011
Last edited: 26th Oct 2015
Tag: spine
Inclusion in quiz mode: Included

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