Anterior surgical approach for lower cervical fracture and dislocation combined with facet interlocking:a review
Lower cervical fracture and dislocation combined with facet interlocking is an acute spinal cord injury caused by flexion-distraction and rotational force.It can result in various degrees of quadriplegia and urinary and defecation disorders,with a high rate of disability,most of which requires surgical treatment.Surgical treatment options for lower cervical fracture and dislocation combined with facet interlocking include anterior approach,posterior approach and combined surgical approach.However,the optimal treatment option remains to be determined.The anterior approach,with the advantages of simple access,smaller trauma,fewer complications,and good sagittal balance,is currently the preferred treatment option for lower cervical fracture and dislocation combined with facet interlocking.Many methods of surgical repositioning and fixation are available in anterior approach,but the choice of surgical repositioning and fixation options in anterior approach is still controversial among scholars.For this purpose,the authors reviewed the progress of researches on anterior surgical approach for lower cervical fracture and dislocation combined with facet interlocking,aiming to provide a reference for its clinical treatment.
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