Hardy J, Pouliquen J C, Livernaux P
Service d'Orthopédie Pédiatrique, Faculté de Médecine Paris-Ouest, Hôpital Raymond Poincaré, Garches.
Rev Chir Orthop Reparatrice Appar Mot. 1990;76(1):17-22.
The authors reviewed the cases of 13 children with C1-C2 traumatic dislocations. A particular interest was given to the elements which seemed to have an influence on the conservative treatment. Two points are of determining importance: the type of dislocation and the delay since the trauma. Pure rotatory dislocations generally occurring after a slight trauma healed thanks to a strict and necessarily early immobilization. On the contrary anterior dislocations due to violent traumas and all C1-C2 dislocations which treatments were delayed required an arthrodesis.
作者回顾了13例C1 - C2创伤性脱位患儿的病例。特别关注了似乎对保守治疗有影响的因素。有两点至关重要:脱位类型和创伤后的延迟时间。单纯旋转性脱位通常在轻微创伤后发生,通过严格且必须尽早的固定得以愈合。相反,由于暴力创伤导致的前脱位以及所有治疗延迟的C1 - C2脱位都需要进行关节融合术。