Baliyan Vinit, Shylendran Sudhin, Ajay K Yadav, Kumar Atin, Gamanagatti Shivanand, Sinha Sumit
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Asian J Neurosurg. 2016 Jan-Mar;11(1):72. doi: 10.4103/1793-5482.165803.
Spinal cord injury is one of the most debilitating injuries in patients with spinal trauma. Cord injury may range from simple cord edema to frank transection. Cord transection is the most severe form of cord injury as it results in complete and irreversible loss of all neural functions. Generally, it is a result of unstable spinal fractures with associated spondylolisthesis or spondyloptosis. Generally, the level of cord transection corresponds to the level of spinal fracture/spondylolisthesis. However, here we are presenting a case having a traumatic spinal fracture with spondylolisthesis where the level of cord transection was much higher than the level of the spinal fracture. Due to the traumatic traction, the cord distal to transection is displaced inferior leaving behind a long segment of the empty thecal sac.
脊髓损伤是脊柱创伤患者中最使人衰弱的损伤之一。脊髓损伤的范围可从单纯的脊髓水肿到完全横断。脊髓横断是脊髓损伤最严重的形式，因为它会导致所有神经功能完全且不可逆转的丧失。一般来说，它是不稳定脊柱骨折合并椎体滑脱或脊柱后凸的结果。通常，脊髓横断的水平与脊柱骨折/椎体滑脱的水平相对应。然而，在此我们报告一例伴有椎体滑脱的创伤性脊柱骨折病例，其中脊髓横断的水平远高于脊柱骨折的水平。由于创伤性牵引，横断部位远端的脊髓向下移位，留下一段长长的空硬膜囊。
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