Fundamentals in Spinal Surgery for Residents-Cervical Facet Fractures and Dislocations

Video Transcription

Video Summary

In this video, the speaker discusses the importance of disclosure and why he finds spine surgery to be rewarding. He shares personal anecdotes and mentions a mentor who inspired him to pursue spine surgery. The speaker then presents a case of a female officer who experienced a pop in her neck while wrestling with her husband. He asks the audience for their thoughts on the case and explains that it is a unilateral tramp facet, also known as the reverse hamburger sign. He discusses the diagnosis, relevant issues, treatment options, and potential complications. The speaker then goes on to discuss reduction techniques, including anterior distraction, use of cast bar pins, and drilling out the facet. He also mentions the possibility of conducting surgery through both the front and back. The speaker shares insights on various factors to consider when determining the best approach for a dislocation. He also briefly discusses vertebral artery injuries in these cases and offers some guidelines for management. The video concludes with the speaker emphasizing the complexity and rewards of treating cervical injuries.

Asset Caption

Michael Y. Wang, MD, FAANS

Keywords

disclosure

spine surgery

case study

reduction techniques

complications

cervical injuries