Closed Reduction of Unilateral and Bilateral Facet Dislocations

Spinal deformity from cervical facet subluxation and dislocation can cause spinal cord and nerve root injury not only from the original trauma, but can lead to ongoing neurologic worsening from continued mechanical compression and vascular compromise. Although manipulation of cervical dislocations is dangerous and not recommended, closed reduction with cranial tong traction is a safe and effective tool in the initial treatment of cervical dislocations. The goals of closed reduction are to restore normal spinal alignment and stabilize and immobilize the cervical spine. Closed reduction may decompress the spinal cord, enhance neurologic recovery, and minimize worsening of neurologic deficits.