Non Traumatic Midcervical Facet Dislocation in a very Elderly Patient: A Case Report

, Sang Uk Kim; , Byoung Il Roh; , Seong Joon Kim; , Sang Don Kim

Case Report

Journal of Korean Society of Geriatric Neurosurgery 2014;10(2):196-199.
Published online December 30, 2014.

Non Traumatic Midcervical Facet Dislocation in a very Elderly Patient: A Case Report

Sang Uk Kim , Byoung Il Roh , Seong Joon Kim , Sang Don Kim

Department of Neurosurgery, The Catholic University of Korea, Bucheon St. Mary’s Hospital, Bucheon, Korea

고령 환자에서 발생한 비외상성 경추부 후관절 탈구: 증례 보고

김상욱·노병일·김성준·김상돈

가톨릭대학교 의과대학 부천성모병원 신경외과학교실

Abstract

An 89-year-old man admitted to our institution with bilateral upper extremities weakness and posterior neck pain. Previous trauma history was unremarkable. Cervical spine X-ray and computed tomography (CT) show bilateral facet dislocation at C5-6 without any bony fractures. Magnetic Resonance Imaging (MRI) presents increased T2 signal intensity in the C5-6 with cord compression. After closed reduction, we performed anterior cervical discectomy and fusion at C5-6. The patient tolerated well postoperatively without complication. After 8 weeks rehabilitation, he had improvement in strength and performance of both arm. We reported a rare case of non traumatic midcervical facet dislocation in a very elderly patient.

Key Words: Fracture-dislocationㆍFacetㆍCervical spineㆍElderly patient