Xin Lin-wei, Tang Ji-cun, Hu Jun-zu, Li Qiang
Department of Orthopaedics, the Affiliated Hospital of Guilin Medical College, Guilin 541001, Guangxi, China.
Zhongguo Gu Shang. 2009 Jan;22(1):29-31.
To study the strategy of the treatment for dislocation of cervical vertebra.
The clinical data of 39 cases with dislocation of cervical vertebra were analyzed. Among them,29 were male and 10 were female. The average age was 40 years old (range from 6 to 74 years old). Segment of dislocation: 15 cases in C(1,2), 1 case in C(3,4), 9 cases in C(4,5), 9 cases in C(5,6), 5 cases in C(6,7). Spinal injury according to Frankel grade, 9 cases were A grade,8 were B, 5 were C, 8 were D, 8 were E, 1 case had radicular symptom. Thirty-two cases were early and rapidly treated with traction (progressive weight). Seventeen cases were treated with operation.
Traction-reduction was successful in 90% of patients. According to Frankel grade, 32 cases averagely improved 0.63 grades. Six cases of severe spinal injury accompany with interlocking of zygopophysis died.
Inspecting weight of traction is important in rapid traction-reduction for dislocation of cervical vertebra. The choice of surgical treatment depends on the degree of reduction, the result of MRI,the grade of spinal trauma and the status of patients.
探讨颈椎脱位的治疗策略。
分析39例颈椎脱位患者的临床资料。其中男性29例，女性10例。平均年龄40岁（6至74岁）。脱位节段：C（1，2）15例，C（3，4）1例，C（4，5）9例，C（5，6）9例，C（6，7）5例。按Frankel分级评定脊髓损伤情况，A级9例，B级8例，C级5例，D级8例，E级8例，1例有神经根症状。32例早期行快速牵引（逐渐增加重量）治疗，17例行手术治疗。
90%的患者牵引复位成功。按Frankel分级，32例平均提高0.63级。6例严重脊髓损伤伴关节突交锁患者死亡。
颈椎脱位快速牵引复位时，监测牵引重量很重要。手术治疗的选择取决于复位程度、MRI结果、脊髓损伤分级及患者状况。
