| Summary: | <p>Abstract</p> <p>Introduction</p> <p>There have been few reports of patients with bilateral cervical facet dislocations that remain untreated for eight weeks or more. We report the case of a 76-year-old man with an old bilateral cervical facet joint dislocation fracture that was treated by posterior-anterior reduction and fixation.</p> <p>Case presentation</p> <p>A 76-year-old Asian man was involved in a road traffic accident. He presented with neck pain and arm pain on his right side, but motor weakness and paralysis were not observed. He was treated conservatively; however, instability and spondylolisthesis at the C5 to C6 joint increased eight weeks after the injury. We performed a posterior-anterior reduction and fixation. After surgery, bony union was achieved, and his neck pain and arm pain disappeared.</p> <p>Conclusion</p> <p>We recommend reduction and fixation surgery if a patient has an old bilateral facet joint dislocation fracture in the cervical spine.</p>
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