Reilly F O F, Gheiti A J C, Burke N, Timlin M
Mater Miseridcordiae University, Eccles Street, Dublin 7, Ireland.
Ir J Med Sci. 2016 Nov;185(4):977-980. doi: 10.1007/s11845-016-1438-2. Epub 2016 Mar 11.
Non-contiguous spinal fractures are rare and most frequently occur in a fall from a height, or high energy trauma such as a road traffic accident (Reid, J Trauma 27:980-986, 1987). Cervical spine fractures tend to occur at two levels, one-third of injuries occur at the level of C2, and one-half of injuries occur at the level of C6 or at C7 (Wittenberg, Spine 27:254-257, 2002). The most devastating and fatal cervical spine injuries occur in upper cervical levels, either at craniocervical junction C1 or C2.
The case we present is of a young man involved in a road traffic accident in Ireland who had a concomitant non-displaced C2 vertebral body fracture and a C6-C7 fracture dislocation. The patient had no neurological symptoms.
Following concurrent ACDF at C6/7 and peg screw fixation of C2 through the same incision the patient made a full recovery.
非连续性脊柱骨折较为罕见，最常发生于高处坠落或道路交通事故等高能量创伤（Reid，《创伤杂志》27:980 - 986，1987年）。颈椎骨折往往发生在两个节段，三分之一的损伤发生在C2节段，一半的损伤发生在C6或C7节段（Wittenberg，《脊柱》27:254 - 257，2002年）。最具破坏性和致命性的颈椎损伤发生在上颈椎节段，即颅颈交界区的C1或C2。
我们呈现的病例是一名在爱尔兰遭遇道路交通事故的年轻男性，他同时伴有C2椎体无移位骨折以及C6 - C7骨折脱位。该患者没有神经症状。
通过同一切口在C6/7行同期前路颈椎间盘切除融合术（ACDF）并对C2进行椎弓根螺钉固定后，患者完全康复。
