采用前后路联合入路对创伤性双侧颈椎小关节脱位进行延迟手术治疗：1例病例报告
Delayed surgical treatment for a traumatic bilateral cervical facet joint dislocation using a posterior-anterior approach: a case report.
作者信息
Shimada Takashi, Ohtori Seiji, Inoue Gen, Nakamura Junichi, Nakada Izumi, Saiki Hiroshi, Chang Song Ho, Kawamura Koui, Takahashi Kazuhisa, Sugiyama Hiroshi
机构信息
Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan.
出版信息
J Med Case Rep. 2013 Jan 9;7:9. doi: 10.1186/1752-1947-7-9.
INTRODUCTION
There have been few reports of patients with bilateral cervical facet dislocations that remain untreated for eight weeks or more. We report the case of a 76-year-old man with an old bilateral cervical facet joint dislocation fracture that was treated by posterior-anterior reduction and fixation.
CASE PRESENTATION
A 76-year-old Asian man was involved in a road traffic accident. He presented with neck pain and arm pain on his right side, but motor weakness and paralysis were not observed. He was treated conservatively; however, instability and spondylolisthesis at the C5 to C6 joint increased eight weeks after the injury. We performed a posterior-anterior reduction and fixation. After surgery, bony union was achieved, and his neck pain and arm pain disappeared.
CONCLUSION
We recommend reduction and fixation surgery if a patient has an old bilateral facet joint dislocation fracture in the cervical spine.
引言
关于双侧颈椎小关节脱位患者未经治疗达八周或更长时间的报道很少。我们报告一例76岁男性，患有陈旧性双侧颈椎小关节脱位骨折，采用前后路复位及固定治疗。
病例介绍
一名76岁的亚洲男性遭遇道路交通事故。他表现为颈部疼痛和右侧手臂疼痛，但未观察到运动无力和瘫痪。他接受了保守治疗；然而，受伤八周后C5至C6关节的不稳定和椎体滑脱加重。我们进行了前后路复位及固定。手术后，实现了骨愈合，他的颈部疼痛和手臂疼痛消失。
结论
如果患者患有颈椎陈旧性双侧小关节脱位骨折，我们建议进行复位及固定手术。
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