Roy-Camille R, Saillant G, Berteaux D, Bisserié M
Rev Chir Orthop Reparatrice Appar Mot. 1978 Dec;64(8):677-84.
The authors have operated on 18 cases of severe strain of the cervical spine (six cases of C1-C2 and 12 cases of level cervical spine). They point out the difficulty of an accurate diagnosis in emergency. They emphasize the importance of flexion-extension X-rays when conventional X-rays are not strictly normal. After an analysis of the results they suggest that recent cases should be treated by posterior grafting at the level of C1 and C2, posterior plating at lower levels. Old and irreducible cases should be treated by osteotomy and anterior grafting: banding with grafting at C1 and C2, posterior screwed plating at the inferior cervical level.
作者已对18例严重颈椎劳损病例进行了手术（寰枢椎6例，下颈椎12例）。他们指出了急诊时准确诊断的困难。他们强调，当常规X线检查并非完全正常时，屈伸位X线检查的重要性。在对结果进行分析后，他们建议，近期病例应在C1和C2水平进行后路植骨，在下颈椎水平进行后路钢板固定。陈旧性及不可复位病例应行截骨术及前路植骨：C1和C2行植骨捆扎，下颈椎行后路螺钉钢板固定。
