McGowin J F, Schlitt M, McCloskey J J
Department of Orthopedics, University of South Alabama Medical Center, Mobile 36617.
J Spinal Disord. 1989 Jun;2(2):104-8.
The concomitant occurrence of brachial plexus injuries and cervical spine fractures in three recent patients is reviewed. The injuries included a fracture or dislocation of the upper portion of the cervical spine and damage to the upper roots of the brachial plexus. All of the patients had associated head injuries and two suffered a spinal cord injury. Recognition of the brachial plexus injury was delayed in each case because of the associated injuries. Probable mechanisms of injury include forced lateral bending of the cervical spine, with or without rotation, combined with forcible depression of the shoulder. All three patients required surgical fusion and/or halo bracing. Two have persistent Erb-type palsies. Brachial plexus injuries must be suspected in all cervical spine injury patients.
本文回顾了最近3例同时发生臂丛神经损伤和颈椎骨折的病例。损伤包括颈椎上部骨折或脱位以及臂丛神经上根损伤。所有患者均伴有头部损伤，2例伴有脊髓损伤。由于合并损伤，每例患者臂丛神经损伤的诊断均延迟。可能的损伤机制包括颈椎的强迫侧屈（伴或不伴旋转），并伴有肩部的强迫下压。所有3例患者均需要手术融合和/或头环外固定。2例患者仍存在埃尔布型麻痹。所有颈椎损伤患者均须怀疑有臂丛神经损伤。
