Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham, UK.
Eur Spine J. 2011 Oct;20(10):1589-92. doi: 10.1007/s00586-011-1858-7. Epub 2011 Jul 28.
Unstable cervical fractures commonly require fusion surgery. We present a case of an unstable cervical fracture (AO classification A2.2) affecting the fifth cervical vertebra which was managed by kyphoplasty to achieve a pain-free, functional and stable outcome. The decision to undertake a kyphoplasty procedure was made in the hope of preserving motion and limiting the degree of future adjacent segment disease. We believe this to be the first case of the use of kyphoplasty to be published in the literature in relation to a traumatic cervical fracture. Additionally, at one-year follow-up the patient reports no pain, a near full range of motion in the cervical spine and no neurological deficit.
不稳定型颈椎骨折通常需要融合手术。我们报告了一例影响第五颈椎的不稳定型颈椎骨折（AO 分类 A2.2），采用后凸成形术进行治疗，以实现无痛、功能和稳定的结果。选择进行后凸成形术的决定是为了希望保留运动并限制未来相邻节段疾病的程度。我们相信这是在文献中首次报道的与创伤性颈椎骨折相关的后凸成形术的应用案例。此外，在一年的随访中，患者报告无疼痛，颈椎活动度接近完全，无神经功能缺损。
