Ryan M D, Henderson J J
Department of Orthopaedics and Traumatic Surgery, University of Sydney, St Leonards, Australia.
Injury. 1992;23(1):38-40. doi: 10.1016/0020-1383(92)90123-a.
A total of 717 fractures and fracture-dislocations of the cervical spine occurred in 657 patients in a 13-year period. Injury was commonest in the third decade of life. The levels most frequently injured were the second, fifth, and sixth. Injuries of the first and second cervical vertebrae commonly occurred together, and injuries involving the upper and lower cervical spine in the same individual occurred in 9 per cent of patients with fractures of C1 and C2. Odontoid fractures were the most frequent fractures in patients over 70 years of age, and formed the majority of fractures in patients over 80 years of age. It is recommended that if a fracture of the upper cervical spine is seen on radiographs, another fracture in the upper or lower cervical spine should be excluded. Patients aged 70 years and above who complain of neck pain after trauma should be suspected of having an odontoid fracture, until proven otherwise.
在13年期间，657例患者共发生717例颈椎骨折和骨折脱位。损伤在生命的第三个十年最为常见。最常受伤的节段是第二、第五和第六节段。第一和第二颈椎损伤常同时发生，同一患者中上颈椎和下颈椎同时受伤的情况在C1和C2骨折患者中占9%。齿状突骨折是70岁以上患者中最常见的骨折类型，在80岁以上患者中占骨折的大多数。建议如果在X线片上发现上颈椎骨折，应排除上颈椎或下颈椎的其他骨折。70岁及以上的患者在创伤后出现颈部疼痛，在未证实其他情况之前，应怀疑有齿状突骨折。
