Laurer H, Sander A, Maier B, Marzi I
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Deutschland.
Orthopade. 2010 Mar;39(3):237-46. doi: 10.1007/s00132-009-1541-4.
Due to the high incidence of concomitant neurological lesions, standardized clinical and radiologic diagnostic procedures in cervical spine injuries are mandatory. Magnetic resonance imaging or a stress X-ray should be performed when discoligamentous injuries are suspected. The three most important pillars in the treatment of cervical spine injuries are the surgical indication, the surgical approach and the choice of implant. However, despite prompt and appropriate therapy many of these injuries lead to permanent functional impairment depending on the type of fracture. This article summarizes the most frequent fracture types of the cervical spine, as well as the corresponding therapeutic options and outcome.
由于合并神经损伤的发生率较高，颈椎损伤的标准化临床和放射学诊断程序是必不可少的。当怀疑存在椎间盘韧带损伤时，应进行磁共振成像或应力X线检查。颈椎损伤治疗的三个最重要支柱是手术指征、手术入路和植入物的选择。然而，尽管进行了及时和适当的治疗，但根据骨折类型，许多此类损伤仍会导致永久性功能障碍。本文总结了颈椎最常见的骨折类型，以及相应的治疗选择和结果。
