Acikbas Cem, Gurkanlar Doga
Akdeniz University, Faculty of Medicine, Neurosurgery Department, Antalya, Turkey.
Turk Neurosurg. 2010 Apr;20(2):257-60. doi: 10.5137/1019-5149.JTN.1991-09.3.
Traumatic cervical spondyloptosis has almost always been associated with disabling neurological deficit and we could only find one case without a neurological deficit reported in the literature. A 42 year old man suffering from severe neck pain following a high speed motor vehicle accident was admitted to our hospital. Magnetic resonance imaging (MRI) and computerized tomography (CT) of the cervical spine and neurologic examination of the patient were performed. The patient was treated with three-column fixation of the traumatic level. We aimed to report a unique case of traumatic C7-T1 total spondyloptosis without a neurological deficit and discuss possible mechanisms and treatment modalities.
创伤性颈椎滑脱几乎总是与致残性神经功能缺损相关,而我们在文献中仅能找到一例无神经功能缺损的病例报告。一名42岁男性在高速机动车事故后出现严重颈部疼痛,被收治入我院。对其进行了颈椎磁共振成像(MRI)、计算机断层扫描(CT)以及神经系统检查。该患者接受了创伤节段的三柱固定治疗。我们旨在报告一例独特的创伤性C7 - T1全颈椎滑脱且无神经功能缺损的病例,并讨论可能的机制及治疗方式。