TY - JOUR T1 - Treatment of old cervical bilateral facet dislocation: Case report and literature review JO - Neurocirugía T2 - AU - Cunha,Marisa AU - Silva,Pedro Santos AU - Pereira,Paulo AU - Vaz,Rui SN - 11301473 M3 - 10.1016/j.neucir.2019.07.005 DO - 10.1016/j.neucir.2019.07.005 UR - https://revistaneurocirugia.com/es-treatment-old-cervical-bilateral-facet-articulo-S113014731930096X AB - Late diagnosis of cervical bilateral facet dislocation is rare and contributes to concerns in the management of these patients.We present a case of a 44-year-old woman presented 8 months after a trauma with persistent neck pain, without neurological deficits. A bilateral C5-C6 facet dislocation was identified. The patient was treated with a combined C5-C6 approach: posterior facet joints release, anterior discectomy and fusion, bilateral posterior fixation. Surgery was performed under intraoperative neurophysiological monitoring. The postoperative period was uneventful, and the patient presented functional improvement.Late surgical treatment of bilateral cervical facet dislocation is safe and feasible. Combined procedures are needed for proper reduction and stabilization of the spine. Intraoperative neurophysiological monitoring adds value to this technique contributing to good outcomes. ER -