Closed reduction of cervical spine dislocations.

Between July 1979 and July 1983, 24 patients with cervical facet dislocations were treated. There were 11 unilateral and 13 bilateral facet dislocations. The treatment consisted of axial skeletal tractions, Stryker frame, Gardner-Wells tongs, and judicious manipulation. Cadaver studies were important for learning the anatomy and principles of cervical manipulation. Seventeen (71%) of the 24 patients were reduced successfully by a closed method without any progression of neurologic deficit or facet fracture. Seven (29%) of the 24 patients could not be reduced closed. Ninety percent (9 of 10) of incomplete spinal cord injuries improved when evaluated by the Frankel classification at least one grade. The program of treatment proved to be safe and effective in achieving closed reduction of either unilateral or bilateral facet dislocations.