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  4. Bilateral Cervical Facet Dislocation Due to Catastrophic Shallow Water Diving: A Case Report

Bilateral Cervical Facet Dislocation Due to Catastrophic Shallow Water Diving: A Case Report

Cureus, 2023 · DOI: 10.7759/cureus.48846 · Published: November 15, 2023

Spinal Cord InjuryTraumaOrthopedics

Simple Explanation

This case report discusses a rare injury: bilateral cervical facet dislocation resulting from a shallow water diving accident in a young adolescent. The patient experienced incomplete central cord syndrome and underwent emergency surgery. Following surgery and rehabilitation, the patient showed substantial neurological recovery. The report emphasizes the need for increased awareness and preventive measures to reduce the risk of such accidents, especially among young people.

Study Duration
Not specified
Participants
One 13-year-old boy
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    A 13-year-old boy suffered bilateral C4/C5 facet dislocation resulting in incomplete central cord syndrome (ASIA C) after diving into shallow water.
  • 2
    The patient underwent posterior instrumentation and decompression, leading to significant neurological recovery, enabling independent walking after six months.
  • 3
    MRI revealed bilateral C4/C5 perched facet joints with spinal cord oedema from C4 to C6 and intramedullary haemorrhage but no spinal stenosis.

Research Summary

The case report details a rare instance of bilateral cervical facet dislocation in a young adolescent due to a shallow water diving accident, resulting in incomplete central cord syndrome. The patient received emergency posterior instrumentation and decompression, followed by rehabilitation, which led to substantial neurological recovery and the ability to walk independently. The report underscores the importance of preventive strategies and increased awareness to mitigate the risk of dangerous shallow water diving accidents, especially among adolescents.

Practical Implications

Increased Awareness

Highlight the dangers of shallow water diving, particularly for adolescents, through educational programs and media campaigns.

Preventive Measures

Implement safety measures such as warning signs in diving areas and lifeguard supervision.

Prompt Management

Emphasize the importance of accurate diagnosis, timely intervention, and aggressive rehabilitation for favorable outcomes in cervical spine injuries.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Lack of long-term follow-up data
  • 3
    Not specified

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