Olerud C, Jónsson H
Department of Orthopedics, Uppsala University Hospital, Sweden.
Acta Orthop Scand. 1991 Dec;62(6):599-601. doi: 10.3109/17453679108994506.
Two cases of severe neurologic damage after open reduction of locked facet joint dislocations of the cervical spine are described. Both patients had progressive neurologic deterioration after the accident. In both cases, the cause of the neurologic injury was sequestrated disk material compressing the spinal cord. One patient, who was reoperated on as an emergency, recovered after removal of the sequestra, whereas the other patient, who was reoperated on later, remained tetraplegic.
本文描述了两例颈椎小关节脱位切开复位术后出现严重神经损伤的病例。两名患者在事故后均出现进行性神经功能恶化。在这两例病例中,神经损伤的原因均为游离椎间盘组织压迫脊髓。其中一名患者作为急诊接受了再次手术,在清除游离组织后康复,而另一名患者后来接受了再次手术,仍为四肢瘫痪。