Wind Joshua J, Ammerman Joshua M
Department of Neurosurgery, The George Washington University School of Medicine, Washington, DC 20037, USA.
South Med J. 2010 Jun;103(6):551-3. doi: 10.1097/SMJ.0b013e3181de0d0c.
Mechanical airway compromise following cervical spine injury or fracture is a rare but known entity. It most commonly is the result of the development of a retropharyngeal hematoma or prevertebral soft tissue edema that obstructs the airway, leading to respiratory distress and emergent need for airway management and possible surgical intervention. We present a novel case of airway compromise following a C3 burst fracture without associated retropharyngeal hematoma or prevertebral soft tissue edema. Surgical management is discussed, and a review of relevant literature is provided. Pathological cervical spine fracture must be included in the differential diagnosis of a patient presenting with acute airway obstruction of unknown etiology.
颈椎损伤或骨折后出现的机械性气道梗阻是一种罕见但已为人知的情况。它最常见的原因是咽后血肿或椎体前软组织水肿的形成，这些情况会阻塞气道，导致呼吸窘迫，并迫切需要进行气道管理以及可能的手术干预。我们报告了一例C3爆裂骨折后气道梗阻的新病例，该病例未伴有咽后血肿或椎体前软组织水肿。文中讨论了手术治疗方法，并提供了相关文献综述。对于病因不明的急性气道梗阻患者，鉴别诊断必须包括病理性颈椎骨折。
