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[一名强直性脊柱炎患者的C5-C6经椎间盘骨折和半脱位]

[C5-C6 transdiscal fracture and subluxation in a patient with ankylosing spondylitis].

作者信息

Carrillo-Colmenero A, García-de la Oliva T, Cabrera Ortiz H F

机构信息

Hospital Regional Universitario Carlos Haya, Málaga.

出版信息

Neurocirugia (Astur). 2006 Oct;17(5):440-4.

Abstract

Cervical fracture is not a rare complication of longterm ankylosing spondylitis (AS). We are reporting a case of cervical fracture in a patient affected by which was complicated by a transdiscal fracture, C5-C6 subluxation, and residual paraplegia. We analyse clinical presentation, predisponent factors, injury mechanism, radiologic features, neurological deficits, and terapeutic management. We discuss the accurate diagnosis and the most suitable treatment for this serious complication, as well as prevention measures.

摘要

颈椎骨折是长期强直性脊柱炎(AS)并不罕见的并发症。我们报告一例患有颈椎骨折的患者,该骨折合并椎间盘骨折、C5 - C6半脱位及残留截瘫。我们分析了临床表现、诱发因素、损伤机制、影像学特征、神经功能缺损及治疗处理。我们讨论了针对这种严重并发症的准确诊断、最合适的治疗方法以及预防措施。

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