Bony fusion in a chronic cervical bilateral facet dislocation.

Abstract

Patient: Male, 60Final Diagnosis: Bilateral cervical facet dislocationSymptoms: Neck painMedication: —Clinical Procedure: —Specialty: NeurosurgeryObjective:Unusual clinical courseBackground:Cervical facet dislocation injuries typically present shortly after occurrence due to the pain and neurologic deficit that can be associated with this injury. Bilateral dislocations of the facet joint require prompt evaluation, reduction, and surgical intervention. Rare case reports present bilateral dislocations presenting in a delayed fashion.Case Report:We report the case of a 60-year-old male who presented with mild neck pain 1 year after initial injury. Computed topography of the cervical spine showed healing with bony fusion of a bilateral C6–7 facet dislocation. Given the chronic healed nature of the injury and minimal symptoms, the patient is being followed without intervention.Conclusions:Although most bilateral facet dislocations present and are treated immediately after injury; this case illustrates that some may be missed during initial evaluation. Once healed, these injuries may be stable without surgical intervention.