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枢椎创伤性滑脱：流行病学、治疗与预后

Traumatic spondylolisthesis of the axis: epidemiology, management and outcome.

作者信息

Ferro Fernando Portilho, Borgo Gustavo Dias, Letaif Olavo Biraghi, Cristante Alexandre Fogaça, Marcon Raphael Martus, Lutaka Alexandre Sadao

机构信息

Spine Group of the Institute of Orthopedics and Traumatology of Hospital das Clínicas of the School of Medicine of Universidade de São Paulo.

出版信息

Acta Ortop Bras. 2012;20(2):84-7. doi: 10.1590/S1413-78522012000200005.

DOI:10.1590/S1413-78522012000200005
PMID:24453586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3718423/
Abstract

OBJECTIVE

To evaluate cases of traumatic spondylolisthesis of the axis and describe them in relation to epidemiology, classification, neurological deficit, healing time and treatment method.

METHOD

A retrospective analysis of the medical records of patients treated between 2002 and 2010 at IOT-FMUSP.

INCLUSION CRITERIA

pars interarticularis fracture of C2.

RESULTS

68% were male patients, with a mean age of 39.1 years. We used the classification by Effendi, modified by Levine-Edwards. Type I fractures were observed in five patients (31.2%) and type II in eight patients (50%). Only three patients (18%) had type IIa fracture. There were no cases of type III. Mechanism: Eight car accidents and four falls. Other mechanisms: being run over, and diving accidents. Treatment with halo traction was used in eleven patients, using minerva cast and halo-cast. Healing time: 3.6 months. Follow-up time: 9.6 months.

DISCUSSION

In general, hangman fracture has a good prognosis, which is confirmed by our results. There was no need for surgery in any of the cases. The incidence of neurological deficit is low. No patient had unstable fracture (type III).

CONCLUSION

This paper suggests that traumatic spondylolisthesis of the axis continues to be an injury that is successfully treated by conservative treatment in most cases. Level of Evidence -IV, Case series.

摘要

目的

评估枢椎创伤性滑脱病例，并从流行病学、分类、神经功能缺损、愈合时间及治疗方法等方面进行描述。

方法

对2002年至2010年在IOT-FMUSP接受治疗的患者病历进行回顾性分析。

纳入标准

C2关节突骨折。

结果

68%为男性患者，平均年龄39.1岁。采用经Levine-Edwards修改的Effendi分类法。观察到5例（31.2%）I型骨折，8例（50%）II型骨折。仅3例（18%）为IIa型骨折。无III型病例。受伤机制：8例车祸，4例跌倒。其他机制：被车辆碾压、潜水事故。11例患者采用头环牵引治疗，使用密尔沃基支具和头环石膏。愈合时间：3.6个月。随访时间：9.6个月。

讨论

总体而言，绞刑者骨折预后良好，我们的结果证实了这一点。所有病例均无需手术。神经功能缺损发生率低。无患者发生不稳定骨折（III型）。

结论

本文表明，枢椎创伤性滑脱在大多数情况下仍是一种可通过保守治疗成功治愈的损伤。证据级别 - IV，病例系列。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/e85dce89c58f/aob-20-084-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/d0e34a3fa86f/aob-20-084-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/834cc98e29df/aob-20-084-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/e9192494e4bb/aob-20-084-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/2869af3ae948/aob-20-084-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/e85dce89c58f/aob-20-084-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/d0e34a3fa86f/aob-20-084-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/834cc98e29df/aob-20-084-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/e9192494e4bb/aob-20-084-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/2869af3ae948/aob-20-084-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/915c/3718423/e85dce89c58f/aob-20-084-g05.jpg

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本文引用的文献

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Irreducible traumatic spondylolisthesis of the axis: case report and review of the literature.枢椎不可复位性创伤性椎体滑脱：病例报告及文献综述
Injury. 2008 Mar;39(3):371-4. doi: 10.1016/j.injury.2007.09.019.
2
ABNORMALITIES OF THE ATLAS AND AXIS VERTEBRAE--CONGENITAL AND TRAUMATIC.寰椎和枢椎异常——先天性与创伤性
J Bone Joint Surg Am. 1964 Dec;46:1782-91.
3
Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period.上颈椎复合伤：14年期间的临床和流行病学数据
用于C2骨折治疗的后路钢丝加椎板下聚酯带及钛-聚醚醚酮固定系统：4例患者的病例系列，最长随访18个月。
J Spine Surg. 2023 Sep 22;9(3):306-313. doi: 10.21037/jss-22-77. Epub 2023 Aug 24.
4
Experience of Using Transpedicular Osteosynthesis in Traumatic Spondylolisthesis of the Axis.经椎弓根骨合成术治疗外伤性枢椎滑脱的经验。
Sovrem Tekhnologii Med. 2021;13(5):47-53. doi: 10.17691/stm2021.13.5.06. Epub 2021 Oct 29.
5
Treatment of unusual hangman's fracture in cluster region during coronavirus 2019 pandemic.2019年冠状病毒病大流行期间集群区域不典型绞刑者骨折的治疗
Surg Neurol Int. 2020 Dec 4;11:415. doi: 10.25259/SNI_666_2020. eCollection 2020.
6
Management challenges of traumatic spondylolisthesis of the Axis with an unusual C2-C3 posterior subluxation in a paediatric patient: case report and literature review.一名小儿患者枢椎创伤性椎体滑脱合并罕见的C2-C3后脱位的管理挑战：病例报告及文献综述
Afr Health Sci. 2018 Jun;18(2):458-467. doi: 10.4314/ahs.v18i2.31.
7
Epidemiology of C2 Fractures in the 21st Century: A National Registry Cohort Study of 6,370 Patients from 1997 to 2014.21世纪C2骨折的流行病学：一项对1997年至2014年6370例患者的全国登记队列研究。
Adv Orthop. 2017;2017:6516893. doi: 10.1155/2017/6516893. Epub 2017 Oct 17.
8
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J Neurol Surg Rep. 2017 Oct;78(4):e119-e122. doi: 10.1055/s-0037-1607425. Epub 2017 Nov 3.
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10
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4
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