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下颈椎创伤性颈椎滑脱:病例系列、文献综述及新分类

Traumatic Cervical Spondyloptosis of the Subaxial Cervical Spine: A Case Series with a Literature Review and a New Classification.

作者信息

Modi Jayprakash Vrajlal, Soman Shardul Madhav, Dalal Shaival

机构信息

Department of Orthopaedics, B.J. Medical College and Civil Hospital, Ahmedabad, India.

Department of Orthopaedics, Government Spine Institute, Ahmedabad, India.

出版信息

Asian Spine J. 2016 Dec;10(6):1058-1064. doi: 10.4184/asj.2016.10.6.1058. Epub 2016 Dec 8.

Abstract

STUDY DESIGN

This is a retrospective study on patients with traumatic subaxial cervical spondyloptosis and includes a review of the available literature regarding the management of this injury.

PURPOSE

This study aimed to assess the biomechanics and varied clinical presentations of this rare but devastating injury.

OVERVIEW OF LITERATURE

This is a case series of three patients and a review of the available literature on subaxial cervical spondyloptosis. Traumatic cervical spondyloptosis of the subaxial spine is rare, with varied clinical presentations.

METHODS

The management of cervical subaxial spondyloptosis represents a challenge to all spine care specialists, and there is a paucity of literature on the best methods for managing this condition. Our experience includes three such patients who visited our tertiary trauma center. This article explains the diverse clinical features of the injury as well as the management of these patients and includes a review of the available literature.

RESULTS

Subaxial cervical spondyloptosis is a devastating injury with diverse clinical features. We present a classification of these fractures based on clinical presentation and magnetic resonance imaging results, which can help in decision-making regarding the management of such patients.

CONCLUSIONS

This article may help physicians assess this injury in an evidence-based manner and also elucidates the management strategies available for such patients.

摘要

研究设计

这是一项针对创伤性下颈椎椎体滑脱患者的回顾性研究,其中包括对有关该损伤治疗的现有文献进行综述。

目的

本研究旨在评估这种罕见但具有破坏性的损伤的生物力学和多种临床表现。

文献综述

这是一个包含三名患者的病例系列,并对有关下颈椎椎体滑脱的现有文献进行了综述。下颈椎创伤性椎体滑脱很少见,临床表现多样。

方法

下颈椎椎体滑脱的治疗对所有脊柱护理专家来说都是一项挑战,而且关于治疗这种疾病的最佳方法的文献很少。我们的经验包括三名到我们三级创伤中心就诊的此类患者。本文解释了该损伤的各种临床特征以及这些患者的治疗方法,并包括对现有文献的综述。

结果

下颈椎椎体滑脱是一种具有多种临床特征的破坏性损伤。我们根据临床表现和磁共振成像结果对这些骨折进行了分类,这有助于对此类患者的治疗做出决策。

结论

本文可能有助于医生以循证的方式评估这种损伤,并阐明针对此类患者可用的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b78/5164995/fa7d87de962a/asj-10-1058-g001.jpg

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