Reduction of traumatic unilateral locked facet of the subaxial cervical spine: what predicts successful closed skeletal traction, and is anterior or posterior surgery superior after unsuccessful closed reduction?

A contralateral perched facet predicted successful CST, whereas any neurological deficit (AIS grade A-D) predicted failed CST. GA increased the odds of successful closed reduction but did not salvage failed awake CST attempts. In patients in whom CST failed and open surgical reduction was required, posterior surgery was significantly more successful than anterior surgery for reestablishing anatomical alignment.

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Publication Details

Journal
Journal of Neurosurgery Spine
Published
2025-05-23
DOI
https://doi.org/10.3171/2025.3.spine241107
Citations
2
Primary Topic
Spinal Fractures and Fixation Techniques
Type
article
Field-Weighted Citation Impact
4.01
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article

Reduction of traumatic unilateral locked facet of the subaxial cervical spine: what predicts successful closed skeletal traction, and is anterior or posterior surgery superior after unsuccessful closed reduction?

Kenneth M. Crandall, Parantap Patel, Timothy Chryssikos, Steven C. Ludwig et al.
2 citations
Journal of Neurosurgery Spine
Spinal Fractures and Fixation Techniques
4.01
article

Reduction of traumatic unilateral locked facet of the subaxial cervical spine: what predicts successful closed skeletal traction, and is anterior or posterior surgery superior after unsuccessful closed reduction?

Kenneth M. Crandall, Parantap Patel, Timothy Chryssikos, Steven C. Ludwig, Ross C. Puffer, Charles A. Sansur, Ovais Hasan, Chixiang Chen, Bizhan Aarabi, Bradley Wilhelmy, Jesse A. Stokum, Gary Schwartzbauer, Kristopher G. Hooten, Rong Zhao, Riccardo Serra
article en
2 citations

Abstract

A contralateral perched facet predicted successful CST, whereas any neurological deficit (AIS grade A-D) predicted failed CST. GA increased the odds of successful closed reduction but did not salvage failed awake CST attempts. In patients in whom CST failed and open surgical reduction was required, posterior surgery was significantly more successful than anterior surgery for reestablishing anatomical alignment.

Journal of Neurosurgery SpineVol. 43(2)
University of Maryland, Baltimore (US), Pennsylvania State University (US)
Reduced inequalities
Openalex Percentile: Top 7%
Spinal Fractures and Fixation Techniques
4.01
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