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Table 3

List of publications and approaches to neglected lower cervical facet dislocations.

Authors Year Cases Mean age (years) Mean delay (weeks) Closed reduction (success/tried) Approach Fixation technique Comments
Bartels and Donk [32] 2002 3 71.3 >10 0/0 P–A–P(2), A–P–A–P(1) LMS, IBC, HP Authors recommend starting with the posterior approach.
Bechet et al. [36] 2022 1 70 52 1/1 A IBC, HP Neurology improved after surgery from A to E.
Ding et al. [7] 2007 17 45.2 13.7 0/3 A–P LMS, IBG Use of interbody cancellous graft and LMS. Hospital stay: 7–30 days. Wound complications (2 cases), dura tear (1 case).
Hassan [5] 2002 12 50 >14 2/12 A(2), P(1), P–A(9) HP or LMS Traction after posterior release, hospital stays 15–29 days. One case of delayed union.
Jain et al. [22] 2010 4 48.2 11.75 0/1 P–A PW, IBG, HP Posterior spinous wiring process wiring. Good outcome.
Jiang et al. [15] 2013 14 46.9 20 3/9 A(3), A–P(1), A–P–A(10) PW and HP or LMS and HP Use of neuro-monitoring, no complication, all cases fused, surgery duration: 85–215 m. Hospital stay: 13.1 ± 4.6 days.
Liu et al. [14] 2011 9 45 >11 0/2 P–A PW, IBC, HP Cage subsidence (1 case), loss of reduction (1 case), and overall neurological improved and achieved fusion.
Marasini [30] 2020 3 48 >12 0/3 A–P–A IBC, HP Corpectomy of the distal vertebra (2 cases), in situ fixation (one case). Neurology improved in all cases. One case developed acute renal failure post-surgery.
Payer and Tessitore [8] 2007 1 51 10 0/0 A–P–A IBC, HP, LMS Blood loss: 530 ml fusion was achieved in all cases. Surgery duration: 4 h.
Prabhat et al. [13] 2017 15 33 9 5/15 A(4), A–P(1), A–P–A(9) IBG, HP, LMS Blood loss: 470 ml. ICU admission (4 cases), Need of tracheostomy (1 case). All patients improved neurologically.
Rajasekaran et al. [23] 2011 1 49 >8 0/1 P LMS Use of navigation and neuro-monitoring. Good outcome.
Shimada et al. [37] 2013 1 76 8 0/0 P–A LMS, HP Neurological improvement, fusion achieved.
Srivastava et al. [12] 2014 1 42 >60 0/0 P–A–P LMS, IBC, HP Surgery duration >5 h, no complication.
Srivastava et al. [6] 2016 6 51 6 3/6 A(3), P(2), P–A(1) IBG, HP, PW or LMS Prolonged ICU admission need of tracheostomy (1 case).
Thompson and Hohl [11] 1978 1 72 46 0/0 Fused, moderate deformity. Conservative treatment.
Jain et al. [25] 2020 1 26 >14 0/0 P–A LMS, IBC,HP Good surgical outcome.
Lukhele [33] 2005 15 24–56 >6 3/15 A IBC, HP ACDF for reduced cases. Corpectomy and fusion in situ for others. No deterioration, alignment improved, all fused.
Goni et al. [17] 2013 6 36 >8 0/6 P–A HP alone or with PW One patient had neurological deterioration; two patients became unstable during the operation.
Miao et al. [16] 2017 52 42.8 8.6 0/0 A IBC and HP Corpectomy and fusion in situ. Alignment and neurology improved. Fusion was achieved in all cases.
Shah et al. [34] 2018 2 30 >150 0/0 Moderate deformity and they were treated conservatively.

IBC: interbody cage, HP: H-plate, PW: posterior wiring, LMS: lateral mass screws, IBG: interbody graft, A: Anterior approach, P: Posterior approach, A–P: Anterior–Posterior, A–P–A: Anterior–Posterior–Anterior; P–A: Posterior–Anterior, P–A–P: Posterior–Anterior–Posterior, A–P–A–P: Anterior–Posterior–Anterior–Posterior.

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