Deen H G, Tolchin S
Department of Neurosurgery, Naval Hospital, San Diego, California.
Neurosurgery. 1989 Aug;25(2):293-7. doi: 10.1097/00006123-198908000-00023.
Two cases of simultaneous Jefferson fracture of C1 and Type II odontoid fracture requiring surgical stabilization are reported. One patient required early stabilization because alignment could not be maintained in a halo vest, and the second patient required late stabilization for nonunion after a 3-month period of immobilization in a two-poster cervical brace. Although this uncommon injury can often be managed conservatively, surgical fusion will need to be considered in the setting of early or late instability.
报告了2例同时发生的C1 Jefferson骨折和II型齿状突骨折并需要手术稳定治疗的病例。1例患者因在头环背心固定中无法维持对线而需要早期稳定治疗，另1例患者在使用双柱颈托固定3个月后因骨折不愈合而需要晚期稳定治疗。尽管这种罕见的损伤通常可以保守治疗，但在早期或晚期不稳定的情况下仍需考虑手术融合。
