Department of Spine Surgery, Orthopädische Universitätsklinik Friedrichsheim, Frankfurt am Main, Germany.
Eur Spine J. 2012 Jun;21 Suppl 4(Suppl 4):S471-4. doi: 10.1007/s00586-011-2102-1. Epub 2011 Dec 14.
We present a unique variant of C1 fracture, which, at the best of our knowledge, has never been previously reported. This lesion consists in a lateral mass atlas fracture with a longitudinal separation of the transverse ligament that remains functionally preserved. We considered this lesion to be stable and treated the patient conservatively with good recovery. Even if many classifications of atlas fractures have been proposed, none of them ever described this uncommon variant. We debate about biomechanical aspects and therapeutic implication of the reported case.
我们呈现了一种独特的 C1 骨折变异，据我们所知，这种骨折此前从未有过报道。这种病变表现为横突韧带完整的寰椎侧块骨折，伴有纵向分离。我们认为这种病变是稳定的，因此对患者进行了保守治疗，取得了良好的恢复效果。尽管已经提出了许多寰椎骨折的分类，但没有一种分类描述过这种不常见的变异。我们对所报告病例的生物力学方面和治疗意义进行了讨论。
