Advances and Controversies in the Treatment of Lower Cervical Facet Dislocation
Abstract：Lower cervical facet dislocation is a spinal trauma caused by flexion traction and rotational force, leading to the disruption of the three-column structure of the cervical spine, and most cases are accompanied by severe spinal cord injury. The treatment principles include early reduction, thorough decompression, fixation, and fusion. There are many treatment methods for this condition, including closed reduction, anterior approach reduction, and posterior approach reduction. Fixation includes anterior plate and screw fixation and posterior rod and screw fixation. Surgical approaches include anterior, posterior, and combined anterior-posterior approaches. Due to differences in patient conditions, specific injury patterns, advantages and disadvantages of various treatment methods, and the experience and habits of surgeons, there are still disagreements on the key aspects of treatment, and the optimal treatment strategy remains controversial. This article reviews the latest advances and controversies in the treatment of lower cervical facet dislocation, aiming to provide references for clinical treatment.
Keywords：Lower cervicalFacet dislocationReduction methodsFixation methodsSurgical approaches
Publication Date：2025-08-20
Online Publishing Date：2025-09-24(First online date of this platform, not the publication date of the document)
Pages：8( 6-13 )