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Unilateral Locked Facets

 

Normal Views

C-Spine Evaluation

 

Fractures and Dislocations

Facet Dislocation - Subluxation

Unilateral Locked Facets:  Stable

This results from simultaneous flexion and rotation. One of the articular masses is displaced anterior to the subjacent mass.  There is subluxation and locking at the facet joint.  

You can see forward displacement of the dislocated vertebral body a distance less than 50% of the AP diameter of the vertebral body.  

There should be no significant listhesis and no abnormal gapping of either the vertebral body or spinous processes.  

This represents a stable minor ligamentous injury.

 
C3 Jumped Facet     

    
Magnified view of C3 Jumped Facet


Unilateral Locked Facet of C6

    
Magnified Views of C6 Unilateral Locked Facet.

Findings:  There is prevertebral soft tissue swelling, abrupt change in rotation at the involved level.  Grade I Anterolisthesis of C6 on C7.  The remaining facets are superimposed.  


This section written by:

LCDR Ron Boucher, MC, USN
LT Hugh McSwain, MC, USN

With some assistance from:

CDR Michael Puckett, MC, USN
ENS Robert Post, MC, USNR


 

 

Approved for public release; Distribution is unlimited.
The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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Operational Medicine 2001
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