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[颈椎轻度畸形后发生的脊髓型颈椎病。可能与颈椎原有脊柱病有关]

[Cervical myelopathy after low grade distortion of the cervical spine. Possible association with pre-existing spondylosis of the cervical spine].

作者信息

Aurich M, Hofmann G O, Gras F M

机构信息

Klinik für Orthopädische Chirurgie, Unfall- und Handchiurgie, Kliniken Leipziger Land, Rudolf-Virchow-Str. 2, 04552, Borna, Deutschland,

出版信息

Unfallchirurg. 2015 Apr;118(4):372-5. doi: 10.1007/s00113-014-2673-5.

DOI:10.1007/s00113-014-2673-5
PMID:25336350
Abstract

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.

摘要

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。

相似文献

1
[Cervical myelopathy after low grade distortion of the cervical spine. Possible association with pre-existing spondylosis of the cervical spine].[颈椎轻度畸形后发生的脊髓型颈椎病。可能与颈椎原有脊柱病有关]
Unfallchirurg. 2015 Apr;118(4):372-5. doi: 10.1007/s00113-014-2673-5.
2
[Comments on: Cervical myelopathy after mild whiplash injury to the cervical spine].
Unfallchirurg. 2015 Apr;118(4):376. doi: 10.1007/s00113-014-2674-4.
3
Copper deficiency myelopathy in the setting of advanced degenerative cervical spondylosis.晚期退行性颈椎病背景下的铜缺乏性脊髓病
Br J Neurosurg. 2016 Aug;30(4):453-5. doi: 10.3109/02688697.2015.1080223. Epub 2015 Sep 4.
4
[Anterior revision surgery for the treatment of cervical spondylosis after anterior decompression and titanium mesh fusion].前路翻修手术治疗前路减压钛网融合术后颈椎病
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Value of intraoperative neurophysiological monitoring to reduce neurological complications in patients undergoing anterior cervical spine procedures for cervical spondylotic myelopathy.术中神经生理监测对减少因脊髓型颈椎病接受颈椎前路手术患者神经并发症的价值。
J Clin Neurosci. 2016 Mar;25:27-35. doi: 10.1016/j.jocn.2015.06.027. Epub 2015 Dec 8.
6
Anterior approach for complex cervical spondylotic myelopathy.复杂型脊髓型颈椎病的前路手术治疗
Orthop Clin North Am. 2012 Jan;43(1):41-52, viii. doi: 10.1016/j.ocl.2011.09.002.
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Anterior approaches for cervical spondylotic myelopathy: which? When? How?脊髓型颈椎病的前路手术:哪种?何时?如何?
Eur Spine J. 2015 Apr;24 Suppl 2:150-9. doi: 10.1007/s00586-015-3784-6. Epub 2015 Feb 5.
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Managing the Complex Patient with Degenerative Cervical Myelopathy: How to Handle the Aging Spine, the Obese Patient, and Individuals with Medical Comorbidities.管理患有退行性颈椎脊髓病的复杂患者:如何应对老化的脊柱、肥胖患者以及患有合并症的个体。
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Anterior Cervical Option to Manage Degenerative Cervical Myelopathy.治疗退行性颈椎脊髓病的前路颈椎手术方案
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An Evidence-Based Stepwise Surgical Approach to Cervical Spondylotic Myelopathy: A Narrative Review of the Current Literature.一种基于证据的颈椎病脊髓病阶梯式手术方法:当前文献的叙述性综述
World Neurosurg. 2016 Oct;94:97-110. doi: 10.1016/j.wneu.2016.06.109. Epub 2016 Jul 5.

引用本文的文献

1
The incidence of cervical spondylosis decreases with aging in the elderly, and increases with aging in the young and adult population: a hospital-based clinical analysis.颈椎病的发病率在老年人中随年龄增长而降低,在年轻人和成年人中随年龄增长而升高:一项基于医院的临床分析。
Clin Interv Aging. 2016 Jan 12;11:47-53. doi: 10.2147/CIA.S93118. eCollection 2016.

本文引用的文献

1
The Torg-Pavlov ratio for the prediction of acute spinal cord injury after a minor trauma to the cervical spine.预测颈椎轻度创伤后急性脊髓损伤的 Torg-Pavlov 比值。
Spine J. 2013 Jun;13(6):605-12. doi: 10.1016/j.spinee.2012.10.039. Epub 2013 Jan 11.
2
The urgency of surgical decompression in acute central cord injuries with spondylosis and without instability.伴有颈椎病且无不稳定的急性中央型脊髓损伤的手术减压紧迫性。
Spine (Phila Pa 1976). 2010 Oct 1;35(21 Suppl):S180-6. doi: 10.1097/BRS.0b013e3181f32a44.
3
Conservative treatments for whiplash.
挥鞭样损伤的保守治疗。
Cochrane Database Syst Rev. 2007 Apr 18;2007(2):CD003338. doi: 10.1002/14651858.CD003338.pub3.
4
[Importance of the cross-sectional area of the spinal canal in thoracolumbar and lumbar fractures. Is there any correlation between the degree of stenosis and neurological deficit?].[胸腰椎和腰椎骨折中椎管横截面积的重要性。狭窄程度与神经功能缺损之间是否存在关联?]
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Spinal cord injury with a narrow spinal canal: utilizing Torg's ratio method of analyzing cervical spine radiographs.伴有狭窄椎管的脊髓损伤:运用托格(Torg)分析颈椎X线片的比率法
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Acceleration perturbations of daily living. A comparison to 'whiplash'.
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[Pathomechanisms of injuries of the spinal cord and spinal nerve roots in trauma of the thoracic and lumbar segments of the spine].
Chir Narzadow Ruchu Ortop Pol. 1989;54(3):195-202.