枕颈融合术及后颅窝减压术治疗合并齿状突骨折的陈旧性寰椎Jefferson骨折脱位：1例报告
Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report.
作者信息
Biakto Karya T, Arifin Jainal, Lee Jansen, Benjamin Michael
机构信息
Department of Orthopaedic and Traumatology, Wahidin Sudirohusodo General Hospital, University of Hasanuddin, Makassar, Indonesia.
出版信息
Int J Spine Surg. 2019 Feb 22;13(1):11-16. doi: 10.14444/6001. eCollection 2019 Jan.
BACKGROUND
Only a few cases of traumatic atlantoaxial fracture-dislocation have been reported, and neglected cases are seldom found because of the fatal nature of this condition.
METHODS
We reported a neglected case of Jefferson fracture-dislocation associated with type II displaced odontoid peg fracture which was nonambulatory and myelopathic. A surgical plan involving posterior fossa decompression and laminectomy of the posterior arch of atlas following posterior spinal instrumentation was then conducted.
RESULTS
Patient experienced marked neurologic recovery and was able to stand and walk with assistance during the early postoperative period.
CONCLUSIONS
This procedure may be an effective alternative treatment in neglected cases.
背景
创伤性寰枢椎骨折脱位的病例报道较少，由于这种情况的致命性，很少发现被忽视的病例。
方法
我们报告了一例被忽视的Jefferson骨折脱位合并II型齿状突骨折移位的病例，患者无法行走且存在脊髓病。随后制定了一项手术计划，包括后颅窝减压、后路脊柱内固定后行寰椎后弓椎板切除术。
结果
患者神经功能明显恢复，术后早期在辅助下能够站立和行走。
结论
该手术方法可能是治疗被忽视病例的一种有效替代方案。
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