C3C4 Unilateral Facet Fracture Dislocation with （同样的骨折脱位单边方面与）.pdf

C3-C4 Unilateral Facet Fracture Dislocation with Vertebral Artery Injury in an Adolescent: A Case Report, Review of 1Sachin S. Kulkarni, M.B.M.S., the Literature, and Suggested Management F.C.P.S., D.orth. 1Patrick O. O’Toole, M.D. Protocol 2Phillip B. Storm, M.D. 1Melissa Gunderson, BA 1Lawrence Wells, MD 1Denis S. Drummond, MD 1Division of Orthopaedic Surgery, Children’s Hospital of Philadelphia, Introduction intravertebral foramen. Magnetic resonance Philadelphia, PA Unilateral facet fracture dislocations of the imaging (MRI) confirmed the malalignment of the 2 Division of Neurosurgery, cervical spine with a jump-locked facet are a cervical spine, the jump-locked facet, anterior– Children’s Hospital of Philadelphia, rare injury in adolescents. The infrequency of rotatory dislocation, and mild wedging of the Philadelphia, PA the injury can result in delayed diagnosis and C4 vertebra without evidence of disc injury or treatment. Significantly, these fractures can be herniation (Figure 2). MRI also revealed an injury to associated with a neurologic complications the left vertebral artery as seen by a high intensity and vascular injuries to the adjacent vertebral signal on the T2 weighted image. artery. A thorough investigation is needed to To further evaluate vascular injury, magnetic identify these associated inj