Original ArticlesThe Management of Traumatic Cervical Bilateral Facet Fracture–Dislocations with Unicortical Anterior PlatesRazack, Nizam; Green, Barth A.; Levi, Allan D. O.Author Information Department of Neurological Surgery, University of Miami School of Medicine, Jackson Memorial Hospital, Miami, Florida, U.S.A. Received September 1, 1999; accepted March 1, 2000. Address correspondence and reprint requests to Dr. A. D. O. Levi, Department of Neurosurgery, The University of Miami, 1501 NW 9th Avenue, Suite 2011, Miami, FL 33136, U.S.A. E-mail: alevi@mednet. med.miami.edu Journal of Spinal Disorders: October 2000 - Volume 13 - Issue 5 - p 374-381 Buy Abstract The goal of this study was to evaluate single-level anterior cervical discectomy and stabilization for bilateral facet fracture dislocations using bone graft and anterior titanium plates with unicortical screw fixation in the clinical setting. We conducted a retrospective review during a consecutive 6-year period of patients treated in a single institution for traumatic single-level cervical bilateral facet fracture–dislocation. All fracture–dislocations that could be aligned with traction were subsequently stabilized using an anterior cervical discectomy with bone graft and titanium unicortical locking plates. All patients were examined after operation for radiographic evidence of healing and neurologic outcome. Twenty-two patients (M:F ratio, 16:6; average age, 47.7 years) underwent an anterior cervical discectomy and stabilization with either an allograft (n = 12) or an autograft (n = 10) and a titanium unicortical locking plate. Most patients had sustained a spinal cord injury (87%) or a radicular injury (9%). The average follow-up was 32 months, with a minimum follow-up of 1 year (range, 13 to 77 months). There was one instrumentation-related failure, but all 22 patients ultimately had evidence of stability at the instrumented level on the final follow-up examination. Anterior fixation with unicortical cervical locking plates as a single procedure offers an excellent surgical alternative in the management of many cervical bilateral facet fracture dislocations in patients who can be reduced preoperatively. © 2000 Lippincott Williams & Wilkins, Inc.