title: Management of Neglected Traumatic Bilateral Cervical Facet Dislocations Without Neurological Deficit.
abstract: BACKGROUND
  Sub axial cervical spine dislocations are common and managing these cases by closed reduction is successful in the majority of cases. However, treatment of old and neglected cases is difficult and the results may vary in terms of neurological and functional outcomes.
  
  
  METHODS
  We present two cases of traumatic bilateral cervical facet dislocation with no neurological deficit (ND) who referred four months after the injury. They were managed via single stage anterior discectomy, posterior facet reduction, instrumentation, and then anterior reconstruction with bone graft and cervical plate. The patients had no ND in the postoperative period and returned to work.
  
  
  CONCLUSIONS
  Patients presenting with neck pain after a history of trauma should be evaluated thoroughly with radiographs and computed tomography. The management of old neglected facet dislocations is difficult, lengthy, and fraught with potential neurological complications; operative intervention can substantially improve the quality of life in these patients.
authors.affiliation: Department of Orthopedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, Delhi, India.
authors.forename: Kamran
authors.initials: K
authors.lastname: Farooque
authors.affiliation: Department of Orthopedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, Delhi, India.
authors.forename: Kavin
authors.initials: K
authors.lastname: Khatri
authors.affiliation: Department of Anesthesia and Critical Care Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, Delhi, India.
authors.forename: Babita
authors.initials: B
authors.lastname: Gupta
authors.affiliation: Department of Orthopedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, Delhi, India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Sharma
keywords: Cervical; Dislocations; Facet Joint; Neck