O'Connor P A, McCormack O, Noël J, McCormack D, O'Byrne J
Department of Orthopaedic Surgery, National Spinal Injuries Unit, Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland.
Int Orthop. 2003;27(3):190-3. doi: 10.1007/s00264-003-0449-6. Epub 2003 Mar 26.
We studied all patients with either unifacetal or bifacetal dislocations treated in our National Spinal Injuries Unit between January 1996 and December 2000. There were 25 cases, of which 13 were unifacetal and 12 bifacetal. Craniocervical traction was employed in 21 cases and closed reduction achieved in 11. Eighteen patients underwent surgical stabilisation. Traction weights of up to 36 kg were employed, but there was no relationship found between the level of dislocation and traction weight. Anterior translation was measured by a newly described method, and we found a statistically significant correlation between the neurological score on admission and the degree of anterior translation.
我们研究了1996年1月至2000年12月期间在我们国家脊髓损伤治疗中心接受治疗的所有单关节或双关节脱位患者。共有25例，其中单关节脱位13例，双关节脱位12例。21例采用颅颈牵引，11例实现了闭合复位。18例患者接受了手术稳定治疗。牵引重量最大达36千克，但未发现脱位水平与牵引重量之间存在关联。采用一种新描述的方法测量前移位，我们发现入院时的神经学评分与前移位程度之间存在统计学上的显著相关性。
