Kopczyński S, Franc Z, Laszkiewicz R, Szponder A
Oddziału Neurochirurgii W.Sz.Z. w Elblagu.
Neurol Neurochir Pol. 1999 Sep-Oct;33(5):1215-9.
The authors present a case of a 14-years old boy, in whom, after a mild trauma, massive signs of cervical spinal cord injury appeared. Isolated odontoid process with instability of atlanto-axial complex proved to be the cause. In course of therapy with methylprednisolone and rehabilitation full recovery was achieved. The operative management consisted in posterior interlaminar stabilization C1-C2 with autologous bone transplant and titanium cable (Sof'wire). The etiology of this disturbance is discussed and operation method is presented.
作者报告了一例14岁男孩的病例,该男孩在轻度外伤后出现了严重的颈脊髓损伤体征。经证实,寰枢复合体不稳定伴孤立的齿状突是病因。在使用甲基强的松龙治疗和康复过程中,患者实现了完全康复。手术治疗包括采用自体骨移植和钛缆(索夫线)进行C1-C2后路椎板间稳定术。文中讨论了这种病变的病因并介绍了手术方法。