创伤性寰枢椎旋转固定伴齿状突及C2关节面骨折。
Traumatic atlantoaxial rotatory fixation with accompanying odontoid and c2 articular facet fracture.
作者信息
Oh Jong Yang, Chough Chung Kee, Cho Chul Bum, Park Hae Kwan
机构信息
Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
出版信息
J Korean Neurosurg Soc. 2010 Nov;48(5):452-4. doi: 10.3340/jkns.2010.48.5.452. Epub 2010 Nov 30.
Abstract
Traumatic atlantoaxial rotatory fixation (AARF) with accompanying odontoid and C2 articular facet fracture is a very rare injury, and only one such case has been reported in the medical literature. We present here a case of a traumatic AARF associated with an odontoid and comminuted C2 articular facet fracture, and this was treated with skull traction and halo-vest immobilization for 3 months. After removal of the halo-vest immobilization, his neck pain was improved and his neck motion was preserved without any neurologic deficits although mild torticolis was still observed in closer inspection.
摘要
伴有齿状突和C2关节面骨折的创伤性寰枢椎旋转固定（AARF）是一种非常罕见的损伤，医学文献中仅报道过1例此类病例。我们在此报告1例伴有齿状突和C2关节面粉碎性骨折的创伤性AARF病例，该病例采用颅骨牵引和头环背心固定治疗3个月。去除头环背心固定后，患者颈部疼痛改善，颈部活动得以保留，无任何神经功能缺损，尽管仔细检查仍可观察到轻度斜颈。
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