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与颈椎骨折相关的颈椎隐匿性韧带损伤。

Occult ligamentous injury of the cervical spine associated with cervical spine fracture.

作者信息

Seijas Roberto, Ares Oscar, Casamitjana José

机构信息

Department of Orthopaedics and Traumatology, Hospital Vall d'Hebron, Barcelona, Spain.

出版信息

Acta Orthop Belg. 2005 Dec;71(6):746-9.

PMID:16459871
Abstract

We report the case of a 20-year-old patient with a C5 cervical spine fracture and an undetected ligamentous lesion between C1 and C2. Cervical spine lesion protocols and the rates of lesions that are not diagnosed with standard evaluation protocols are reviewed, with particular emphasis on comatose patients. Dynamic studies during the surgical procedure for fixation of the fracture are recommended to increase the detection of ligamentous lesions.

摘要

我们报告了一例20岁患者,其患有C5颈椎骨折且C1和C2之间存在未被检测到的韧带损伤。本文回顾了颈椎损伤方案以及未通过标准评估方案诊断出的损伤发生率,特别强调了昏迷患者。建议在骨折固定手术过程中进行动态研究,以提高韧带损伤的检出率。

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引用本文的文献

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Clinical algorithm for preventing missed diagnoses of occult cervical spine instability after acute trauma: A case report.急性创伤后预防隐匿性颈椎不稳漏诊的临床算法:病例报告
World J Clin Cases. 2021 Nov 26;9(33):10369-10373. doi: 10.12998/wjcc.v9.i33.10369.
2
Addition of lateral bending range of motion measurement to standard sagittal measurement to improve diagnosis sensitivity of ligamentous injury in the human lower cervical spine.在标准矢状面测量基础上增加侧弯活动度测量,以提高人类下颈椎韧带损伤诊断的敏感性。
Eur Spine J. 2016 Jan;25(1):122-126. doi: 10.1007/s00586-015-4110-z. Epub 2015 Jul 11.