Yamamoto Hiromichi, Kurimoto Masanori, Hayashi Nakamasa, Ohmori Tomoaki, Hirashima Yutaka, Endo Shunro
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama-city, Toyama 930-0194, Japan.
No Shinkei Geka. 2002 Sep;30(9):987-91.
Most cases of atlas burst fracture do not require surgical stabilization, because they can be successfully treated with external immobilization. The authors present two cases of atlas burst fracture in which surgical stabilization was required after external immobilization. The first patient was a 50-year-old male and the second patient was a 34-year-old male. Both presented with neck pain without neurological symptoms after a traffic accident. Neuroradiological examinations revealed atlas burst fracture in both patients. They were initially treated with conservative treatment; one with a rigid collar and the other with a halo vest. However, lateral offset of the atlas on the axis increased and atlanto-axial instability became evident three months later in both patients. They underwent upper cervical arthrodesis with satisfactory results. The authors review surgical indication and its timing in patients with atlas burst fracture.
多数寰椎爆裂骨折病例无需手术固定，因为通过外固定可成功治疗。作者报告了两例寰椎爆裂骨折病例，这两例患者在外固定后仍需手术固定。首例患者为一名50岁男性，第二例患者为一名34岁男性。两名患者均在交通事故后出现颈部疼痛，但无神经症状。神经放射学检查显示两名患者均为寰椎爆裂骨折。他们最初接受保守治疗，一例使用硬质颈托，另一例使用头环背心。然而，三个月后两名患者的寰椎相对于枢椎的侧向移位均增加，寰枢椎不稳变得明显。他们接受了上颈椎融合术，效果满意。作者回顾了寰椎爆裂骨折患者的手术指征及其时机。
Zotero 插件