Aurich M, Hofmann G O, Gras F M
Klinik für Orthopädische Chirurgie, Unfall- und Handchiurgie, Kliniken Leipziger Land, Rudolf-Virchow-Str. 2, 04552, Borna, Deutschland,
Unfallchirurg. 2015 Apr;118(4):372-5. doi: 10.1007/s00113-014-2673-5.
A patient with spondylosis deformans of the cervical spine with no neurological deficits developed rapidly progressive tetraparesis 1 day after a whiplash injury due to a car accident (rear end collision), although initially there were no clinical symptoms. Surgical decompression and spondylodesis led to relief of the neurological deficits. This case demonstrates that even a low grade whiplash injury (grade 1) can cause severe neurological symptoms later and that a degenerative disease of the spine is a predisposing factor.
一名患有颈椎变形性脊柱炎且无神经功能缺损的患者,在因车祸(追尾碰撞)导致颈部挥鞭样损伤1天后,迅速出现进行性四肢轻瘫,尽管最初并无临床症状。手术减压和脊柱融合术使神经功能缺损得到缓解。该病例表明,即使是轻度的颈部挥鞭样损伤(1级),日后也可能导致严重的神经症状,且脊柱退行性疾病是一个诱发因素。