Facet joint dislocation, Jefferson and hangman fractures


Bilateral facet dislocations are an unstable spinal injury 1, further complicated in this case with a combination of a Jefferson and Hangman’s fractures. Reduction of this dislocation can be more complex with the presence of a perched or locked facet joint 2. Bilateral perched facet joints have a high rate of associated spinal cord injury; unfortunately, this was the result in this case.