THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY

Sakar, Mustafa; Kıvrak, Can; Harman, Ferhat; JAVADOV, TOGHRUL; Guvenc, Yahya

doi:10.4274/jtss.galenos.2021.54154

THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY

Mustafa SAKAR, (Marmara Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Toghrul JAVADOV, (Marmara Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Can KIVRAK, (Marmara Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Yahya GÜVENÇ, (Marmara Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Ferhat HARMAN (Marmara Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Journal of Turkish Spinal Surgery

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Yıl: 2021 Cilt: 32 Sayı: 4 Sayfa Aralığı: 154 - 159 Metin Dili: İngilizce DOI: 10.4274/jtss.galenos.2021.54154 İndeks Tarihi: 15-01-2022

THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY

Öz:

Objective: Various strategies are suggested for facet joint dislocations after cervical trauma. The effect of timing of surgery on neurological outcome is controversial, both early and late surgeries have advantages and disadvantages. We aimed to investigate the neurological results of early versus late surgery for traumatic subaxial cervical facet joint dislocations. We also aimed to investigate the effect of unilateral and bilateral injuries on neurological recovery. Materials and Methods: The data of 23 consecutive patients with facet joint dislocation between 2013-2020 were retrospectively analyzed. The data of age, gender, spinal level and side, surgical strategy, surgical timing, neurological status, and prognosis were collected from medical reports. Surgery within the first 24 hours of trauma was defined as early surgery and surgery after 24 hours of trauma was defined as late surgery. The effect of timing of surgery and unilateral or bilateral nature of the injury on neurological outcome were investigated at one-year follow-up. Results: In a total of 19 patients with neurological deficits, early surgery resulted in neurological recovery in 7 of 12 patients (p=0.001), and late surgery resulted in neurological recovery in 2 of 7 patients (p=0.135). While 8 of 12 patients with unilateral dislocation showed neurological recovery (p=0.002), only 3 of 11 patients with bilateral facet joint dislocations showed neurological recovery (p=0.061). Conclusion: Early surgery may result in better neurological outcomes at one-year follow up than late surgery. Patients with unilateral facet joint dislocation have better prognosis than bilateral injuries in terms of neurological recovery

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Sakar M, JAVADOV T, Kıvrak C, Guvenc Y, Harman F (2021). THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. , 154 - 159. 10.4274/jtss.galenos.2021.54154
Chicago	Sakar Mustafa,JAVADOV TOGHRUL,Kıvrak Can,Guvenc Yahya,Harman Ferhat THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. (2021): 154 - 159. 10.4274/jtss.galenos.2021.54154
MLA	Sakar Mustafa,JAVADOV TOGHRUL,Kıvrak Can,Guvenc Yahya,Harman Ferhat THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. , 2021, ss.154 - 159. 10.4274/jtss.galenos.2021.54154
AMA	Sakar M,JAVADOV T,Kıvrak C,Guvenc Y,Harman F THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. . 2021; 154 - 159. 10.4274/jtss.galenos.2021.54154
Vancouver	Sakar M,JAVADOV T,Kıvrak C,Guvenc Y,Harman F THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. . 2021; 154 - 159. 10.4274/jtss.galenos.2021.54154
IEEE	Sakar M,JAVADOV T,Kıvrak C,Guvenc Y,Harman F "THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY." , ss.154 - 159, 2021. 10.4274/jtss.galenos.2021.54154
ISNAD	Sakar, Mustafa vd. "THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY". (2021), 154-159. https://doi.org/10.4274/jtss.galenos.2021.54154

APA	Sakar M, JAVADOV T, Kıvrak C, Guvenc Y, Harman F (2021). THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. Journal of Turkish Spinal Surgery, 32(4), 154 - 159. 10.4274/jtss.galenos.2021.54154
Chicago	Sakar Mustafa,JAVADOV TOGHRUL,Kıvrak Can,Guvenc Yahya,Harman Ferhat THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. Journal of Turkish Spinal Surgery 32, no.4 (2021): 154 - 159. 10.4274/jtss.galenos.2021.54154
MLA	Sakar Mustafa,JAVADOV TOGHRUL,Kıvrak Can,Guvenc Yahya,Harman Ferhat THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. Journal of Turkish Spinal Surgery, vol.32, no.4, 2021, ss.154 - 159. 10.4274/jtss.galenos.2021.54154
AMA	Sakar M,JAVADOV T,Kıvrak C,Guvenc Y,Harman F THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. Journal of Turkish Spinal Surgery. 2021; 32(4): 154 - 159. 10.4274/jtss.galenos.2021.54154
Vancouver	Sakar M,JAVADOV T,Kıvrak C,Guvenc Y,Harman F THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY. Journal of Turkish Spinal Surgery. 2021; 32(4): 154 - 159. 10.4274/jtss.galenos.2021.54154
IEEE	Sakar M,JAVADOV T,Kıvrak C,Guvenc Y,Harman F "THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY." Journal of Turkish Spinal Surgery, 32, ss.154 - 159, 2021. 10.4274/jtss.galenos.2021.54154
ISNAD	Sakar, Mustafa vd. "THE RESULTS OF EARLY VERSUS LATE SURGERY IN TRAUMATIC CERVICAL FACET JOINT DISLOCATION: A RETROSPECTIVE STUDY". Journal of Turkish Spinal Surgery 32/4 (2021), 154-159. https://doi.org/10.4274/jtss.galenos.2021.54154