Momaya Amit, Rozzelle Curtis, Davis Kenny, Estes Reed
University of Alabama at Birmingham Sports Medicine, Birmingham, AL.
Am J Orthop (Belle Mead NJ). 2014 Jun;43(6):272-4.
Cervical spine injuries are uncommon but potentially devastating athletic injuries. We report a case of a girl gymnast who presented with a cervical spine fracture dislocation with posterior ligamentous disruption several days after injury. To our knowledge, this type of presentation with such severity of injury in a gymnast has not been reported in the literature. The patient was performing a double front tuck flip and sustained a hyperflexion, axial-loading injury. She experienced mild transient numbness in her bilateral upper and lower extremities lasting for about 5 minutes, after which it resolved. The patient was neurologically intact during her clinic visit, but she endorsed significant midline cervical tenderness. Plain radiographs and computed tomography imaging of the cervical spine revealed a C2-C3 fracture dislocation. She underwent posterior open reduction followed by C2-C3 facet arthrodesis and internal fixation. This case highlights the importance of very careful evaluations of neck injuries and the maintenance of high suspicion for significant underlying pathology.
颈椎损伤虽不常见，但却是可能造成严重后果的运动损伤。我们报告一例女子体操运动员病例，该患者在受伤几天后出现颈椎骨折脱位并伴有后韧带断裂。据我们所知，文献中尚未报道过体操运动员出现如此严重损伤类型的情况。患者在进行双前空翻时遭受了过屈、轴向负荷损伤。她双侧上下肢出现轻度短暂麻木，持续约5分钟，之后症状缓解。患者在门诊就诊时神经功能完好，但自述颈椎中线有明显压痛。颈椎的X线平片和计算机断层扫描成像显示C2 - C3骨折脱位。她接受了后路切开复位，随后进行了C2 - C3小关节融合和内固定。该病例凸显了对颈部损伤进行非常仔细评估以及高度怀疑存在重大潜在病变的重要性。
