Open Access
Review
Table 1
Characteristics of published cases with neglected lower cervical facet dislocations.
| Variable | n | % |
|---|---|---|
| Age (16 articles/65 cases) | ||
| Children (<12 years) | 0 | 0.0% |
| Adolescent (13–17 years) | 0 | 0.0% |
| Young adults (18–29 years) | 4 | 6.2% |
| Middle adults (30–60 years) | 48 | 73.8% |
| Older adults and elderly (>61 years) | 13 | 20.0% |
| Sex (19 articles/150 cases) | ||
| Male | 108 | 72.0% |
| Female | 42 | 28.0% |
| Affected level (20 articles/165 cases) | ||
| C2–C3 | 1 | 0.6% |
| C3–C4 | 8 | 4.8% |
| C4–C5 | 39 | 23.6% |
| C5–C6 | 71 | 43.0% |
| C6–C7 | 41 | 24.8% |
| C7–T1 | 5 | 3.0% |
| Cause of delay (18 articles/94 patients) | ||
| Missed injury | 49 | 52.1% |
| Ineffective non-operative treatment | 34 | 36.2% |
| Delay to seek medical care | 11 | 11.7% |
| Type of dislocation (19 articles/150 cases) | ||
| Unilateral | 51 | 34.0% |
| Bilateral | 99 | 66.0% |
| Mechanism of injury (16 articles/130 cases) | ||
| Fall | 64 | 48.5% |
| Road traffic accident | 38 | 29.2% |
| Sport injury | 9 | 6.9% |
| Heavy object fall on the head | 20 | 15.4% |
| Clinical presentation (20 articles/165 cases) | ||
| Neck pain | 61 | 37.0% |
| Stiffness | 50 | 30.3% |
| Deformity | 2 | 1.2% |
| Neurological deficit | 139 | 84.2% |
| Asymptomatic | 2 | 1.2% |
| Neurological status on admission (19 articles/165 cases) | ||
| Frankel A | 20 | 12.1% |
| Frankel B | 17 | 10.3% |
| Frankel C | 41 | 24.8% |
| Frankel D | 40 | 24.2% |
| Frankel E | 26 | 15.8% |
| Radiculopathy | 21 | 12.7% |
| SCI outcomes ≥6-month follow-up (16 articles/77 cases) | ||
| Remained neurologically free | 17 | 22.1% |
| Improved ≥2 Frankel grades | 19 | 24.7% |
| Improved 1 Frankel grade | 32 | 41.6% |
| No improvement–no deterioration | 8 | 10.4% |
| Deterioration | 1 | 1.3% |
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