Ersmark H, Dalen N, Kalen R
Department of Orthopaedic Surgery, Danderyd Hospital, Sweden.
Paraplegia. 1990 Jan;28(1):25-40. doi: 10.1038/sc.1990.4.
A follow-up of 332 consecutive cervical spine injury patients is described. Treatment was with collars (47%), operation (6%), skull traction (24%) and Halo vest (23%). There was a large number of cervical spine injuries at the C2 level, and odontoid process fractures constituted 35% of all cervical spine injuries. The bad reputation of cervical spine injuries with high mortality rates, high non-union rates, and a high incidence of severe neurological impairment could not be confirmed. Traffic accidents affected the younger age categories, and injuries from falls the older ages. The accidents occurred in 95% during leisure, and at least 22% of the patients were under the influence of drugs and/or alcohol. Halo vest treatment gave a low complication rate, a low use of hospital bed days, sick leave and disability pension, compared with operations and skull traction treatment. The complication rate associated with the skull traction and operative treatment was unacceptably high.
本文描述了对332例连续颈椎损伤患者的随访情况。治疗方法包括使用颈托（47%）、手术（6%）、颅骨牵引（24%）和头环背心（23%）。C2水平的颈椎损伤数量众多，齿突骨折占所有颈椎损伤的35%。颈椎损伤死亡率高、不愈合率高以及严重神经功能障碍发生率高的不良声誉未得到证实。交通事故影响较年轻年龄段，跌倒损伤影响较年长年龄段。95%的事故发生在休闲时间，至少22%的患者受药物和/或酒精影响。与手术和颅骨牵引治疗相比，头环背心治疗的并发症发生率低，住院天数、病假和残疾抚恤金的使用也少。颅骨牵引和手术治疗相关的并发症发生率高得令人无法接受。
