Apfelbaum J D, Cantrill S V, Waldman N
Denver Health Medical Center, Department of Emergency Medicine, CO, USA.
Am J Emerg Med. 2000 Jan;18(1):55-7. doi: 10.1016/s0735-6757(00)90049-4.
Cervical spine instability in the neurologically intact patient following penetrating neck trauma has been considered rare or non-existent. We present a case of a woman with an unstable C5 fracture without spinal cord injury after a gunshot wound to the neck. Considerations regarding the risk of cervical spine instability are discussed, as well as suggestions for a prudent approach to such patients.
在穿透性颈部创伤后，神经功能完好的患者出现颈椎不稳一直被认为很罕见或不存在。我们报告一例颈部枪伤后出现C5不稳定骨折但无脊髓损伤的女性病例。文中讨论了颈椎不稳风险的相关考量，以及对此类患者采取谨慎处理方法的建议。
