非器械辅助前路手术成功治疗创伤后C7-T1椎体滑脱症
Successful management of post-traumatic C7-T1 spondyloptosis with uninstrumented ventral surgery.
作者信息
Shah Kiritkumar Chhanalal, Rajshekhar Vedantam
机构信息
Department of Neurological Sciences, Christian Medical College Hospital, Vellore, India.
出版信息
Surg Neurol. 2004 Nov;62(5):431-4. doi: 10.1016/j.surneu.2003.12.012.
BACKGROUND
Total spondyloptosis of the cervical spine is a very rare injury. The authors describe an unusual case of post-traumatic total spondyloptosis of the cervical spine at C7-T1 level.
CASE DESCRIPTION
A 40-year-old man presented with weakness of all four limbs, impaired sensations in all limbs and neck pain after a fall. A magnetic resonance image (MRI) of the cervical spine revealed a total spondyloptosis at C7-T1 level. He was managed successfully with ventral decompression and uninstrumented in situ fusion. The patient had a good neurologic outcome.
CONCLUSION
Selected patients with spondyloptosis of the cervical spine can be successfully managed with uninstrumented ventral surgery.
背景
颈椎完全滑脱是一种非常罕见的损伤。作者描述了一例C7-T1水平创伤后颈椎完全滑脱的罕见病例。
病例描述
一名40岁男性在跌倒后出现四肢无力、四肢感觉障碍和颈部疼痛。颈椎磁共振成像（MRI）显示C7-T1水平完全滑脱。通过前路减压和非器械原位融合成功治疗。患者神经功能恢复良好。
结论
部分颈椎滑脱患者可通过非器械前路手术成功治疗。
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