Key A
Paraplegia. 1975 Nov;13(3):208-15. doi: 10.1038/sc.1975.33.
From this series it would appear that 17-5 per cent (92 cases from a series of 525) of all cervical lesions associated with spinal cord trauma are dislocations with unilateral facet interlocking. This type of dislocation is often missed but nevertheless with suitable radiographs the very characteristic radiographic appearances are well demonstrated. Two-thirds of these cases are initially incomplete neurological lesions which carry a good neurological prognosis directly proportional to the degree of initial neurological escape. A significant percentage reduce easily on traction alone--51 per cent of the entire series. Taking the year 1973, with 17 cases on a standardised regime of treatment and disregarding the two cases reduced by immediate manipulation under general anaesthesia, ten out of 15 (66 per cent) reduced easily on skull traction alone-possibly a more realistic figure.
从该系列病例来看，与脊髓损伤相关的所有颈椎损伤中，17.5%（525例中的92例）为单侧小关节交锁性脱位。这种脱位类型常被漏诊，但通过合适的X线片，其非常典型的影像学表现能得到很好的显示。这些病例中有三分之二最初为不完全性神经损伤，其神经预后良好，与初始神经功能缺失程度成正比。相当比例的病例仅通过牵引就能轻松复位——占整个系列病例的51%。以1973年为例，有17例采用标准化治疗方案，不考虑在全身麻醉下立即手法复位的2例，15例中有10例（66%）仅通过颅骨牵引就轻松复位了——这可能是一个更实际的数字。
