Chen Xin, Gao Shu-Guang, Lei Guang-Hua, Teng Hong-Lin, Chen Lei
Department of Orthopaedics, First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang, China.
Zhongguo Gu Shang. 2008 Dec;21(12):924-5.
To investigate clinical features of the traumatic cervical disc herniation and through retrospective analysis 62 cases of traumatic cervical disc herniation.
Among 62 patients with traumatic cervical disc herniation, 46 patients were male and 16 patients were female, with an average ages of 36.4 years. According to the clinical manifestation, there were 30 cases of symmetrical limb palsy, 19 cases of upper motor palsy serious than lower, 13 cases of unilateral palsy and contralateral disorder of algesthesia and thermesthesia. There were 58 patients treated with operation and 4 patients treated with conservative method.
All of the incisions were with primary healing. Twenty-four patients recovered to normal, and other 34 cases improved obviously and the duration of follow-up ranged from 6 to 28 months. The average time was 11 months. JOA scores increased from preoperative 5.6 to postoperative 12.7.
Operative treatment is effective for different types of the traumatic cervical disc herniation.
通过回顾性分析62例创伤性颈椎间盘突出症患者，探讨其临床特征。
62例创伤性颈椎间盘突出症患者中，男性46例，女性16例，平均年龄36.4岁。根据临床表现，双侧肢体麻痹30例，上肢运动麻痹重于下肢19例，单侧麻痹伴对侧感觉及温度觉障碍13例。58例行手术治疗，4例行保守治疗。
所有切口均一期愈合。24例恢复正常，其余34例明显改善，随访时间6至28个月，平均11个月。日本骨科学会（JOA）评分从术前的5.6分提高到术后的12.7分。
手术治疗对不同类型的创伤性颈椎间盘突出症有效。
