Robles Luis A
Section of Neurosurgery Hospital, CMQ Premiere, Puerto Vallarta, Mexico.
Surg Neurol Int. 2017 Jan 19;8:7. doi: 10.4103/2152-7806.198734. eCollection 2017.
Acute traumatic axis fractures are common cervical spine injuries often caused by road accidents or falls. They are usually classified into three different types, namely, odontoid fractures, Hangman's fractures, and miscellaneous fractures. Congenital malformations of the craniovertebral junction (CVJ), although typically asymptomatic, may result in neural compression or instability, especially following trauma. Here, the authors present an unusual oblique axis fracture occurring in conjunction with several malformations of the upper cervical spine.
Following a motor vehicle accident, a 25-year-old female's radiographic studies showed an oblique axis fracture involving both the anterior and posterior elements along with an anterior and posterior Klippel-Feil syndrome (KFS) anomaly. Following treatment in a halo vest, the patient maintained alignment, and ultimately the fracture was fused.
True oblique fractures of the axis are rare, as in the case presented, and may occasionally occur in conjunction with KFS of the upper cervical spine.
急性创伤性枢椎骨折是常见的颈椎损伤，常由道路交通事故或跌倒引起。它们通常分为三种不同类型，即齿状突骨折、绞刑架骨折和其他骨折。颅颈交界区（CVJ）的先天性畸形虽然通常无症状，但可能导致神经受压或不稳定，尤其是在创伤后。在此，作者报告了一例不寻常的枢椎斜形骨折，同时伴有上颈椎的几种畸形。
一名25岁女性在机动车事故后，影像学检查显示枢椎斜形骨折，累及前后结构，同时伴有前后型Klippel-Feil综合征（KFS）异常。在接受 Halo 背心治疗后，患者保持了对线，最终骨折融合。
如本病例所示，真正的枢椎斜形骨折很少见，偶尔可能与上颈椎的KFS同时发生。
