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一种用于开放性复位颈椎创伤性单侧小关节交锁的撬拨技术:技术说明

A levering technique for open reduction of traumatic unilateral locked facets of cervical spine: technical note.

作者信息

Bunyaratavej Krishnapundha, Khaoroptham Surachai

机构信息

Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

Asian Spine J. 2011 Sep;5(3):176-9. doi: 10.4184/asj.2011.5.3.176. Epub 2011 Aug 12.

DOI:10.4184/asj.2011.5.3.176
PMID:21892390
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3159066/
Abstract

Reduction of traumatic unilateral locked facets of the cervical spine can be accomplished by closed or open means. If closed reduction is unsuccessful, then open reduction is indicated. The previously described techniques of open reduction of a unilateral locked facets of the cervical spine in the literature included drilling facet, forceful manipulation or using special equipment. We describe a reduction technique that uses a basic spinal curette, in a forceless manner, and it does not need facet drilling. We have successfully used this technique in 5 consecutive patients with unilateral locked facets. There have been no complications related to this technique.

摘要

颈椎创伤性单侧小关节交锁的复位可通过闭合或开放方法完成。如果闭合复位不成功,则需行开放复位。文献中先前描述的颈椎单侧小关节交锁的开放复位技术包括磨钻关节突、强力手法复位或使用特殊设备。我们描述了一种使用基本的脊柱刮匙、以无暴力方式且无需磨钻关节突的复位技术。我们已连续5例单侧小关节交锁患者成功应用该技术,且未出现与该技术相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/2676d4206b29/asj-5-176-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/6d8d60372096/asj-5-176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/945e70cf8e6b/asj-5-176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/f5b5633b1b25/asj-5-176-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/2676d4206b29/asj-5-176-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/6d8d60372096/asj-5-176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/945e70cf8e6b/asj-5-176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/f5b5633b1b25/asj-5-176-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca79/3159066/2676d4206b29/asj-5-176-g004.jpg

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本文引用的文献

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Traumatic lateral spondylolisthesis of the lumbar spine with a unilateral locked facet: description of an unusual injury, probable mechanism, and management.
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Treatment of cervical dislocation with locked facets.伴小关节交锁的颈椎脱位的治疗
Chin Med J (Engl). 2007 Feb 5;120(3):216-8.
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Intraoperative reduction of locked facets in the cervical spine by use of a modified interlaminar spreader: technical note.使用改良椎板撑开器在颈椎手术中整复交锁小关节:技术说明
Neurosurgery. 2001 Feb;48(2):444-5; discussion 445-6. doi: 10.1097/00006123-200102000-00045.
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Unilateral facet interlocking in the lower cervical spine.下颈椎单侧小关节交锁。
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