与严重颈椎过伸矫正相关的死亡率和发病率。
Mortality and morbidity associated with correction of severe cervical hyperextension.
作者信息
Poulter Gregory T, Garton Hugh J L, Blakemore Laurel C, Hensinger Robert N, Graziano Gregory P, Farley Frances A
机构信息
Department of Orthopedic Surgery, University of California, San Francisco, CA, USA.
出版信息
Spine (Phila Pa 1976). 2009 Feb 15;34(4):378-83. doi: 10.1097/BRS.0b013e3181947ce4.
STUDY DESIGN
Three case reports of patients with treatment of severe cervical hyperextension.
OBJECTIVE
Cervical hyperextension is a rare spine deformity that is associated with myopathies. Previous reports of surgical correction have reported no major operative complications. This report outlines our experience with 3 patients who experienced significant complications.
SUMMARY OF BACKGROUND DATA
The limited literature on the treatment of cervical hyperextension has good to excellent outcomes.
METHODS
Three case reports are presented.
RESULTS
Three cases with severe cervical hyperextension with intraoperative correction had associated morbidity and mortality. One case had a failed intubation requiring tracheotomy. This was followed by a successful posterior release with halo traction for 2 weeks and then an instrumented posterior cervical fusion. This patient died at home 2 weeks after surgery. The second and third cases had an intraoperative spinal cord injury during a posterior release for cervical hyperextension.
CONCLUSION
Patients with severe cervical hyperextension have high neurologic perioperative risk.
研究设计
3例严重颈椎过伸伤患者的治疗病例报告。
目的
颈椎过伸是一种罕见的与肌病相关的脊柱畸形。既往手术矫正的报告未提及重大手术并发症。本报告概述了我们治疗3例出现严重并发症患者的经验。
背景资料总结
关于颈椎过伸伤治疗的有限文献显示预后良好至极佳。
方法
呈现3例病例报告。
结果
3例严重颈椎过伸伤患者在术中矫正时出现了相关的发病率和死亡率。1例患者插管失败，需要行气管切开术。随后成功进行后路松解并颅骨牵引2周，然后行颈椎后路器械融合术。该患者术后2周在家中死亡。第2例和第3例患者在颈椎过伸伤后路松解术中发生术中脊髓损伤。
结论
严重颈椎过伸伤患者围手术期神经损伤风险高。
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