Khattar Nicolas K, Donovan Andrew M, Oxford Brent G, Adams Shawn W C, Altstadt Thomas J
Neurological Surgery, University of Louisville School of Medicine, Louisville, USA.
Cureus. 2019 Feb 13;11(2):e4070. doi: 10.7759/cureus.4070.
Spinal cord herniation (SCH) is an uncommon traumatic event that should be considered in patients with vertebral fractures who develop an unusual constellation of autonomic and motor deficits. Herein, we describe a case of rapidly deteriorating neurological function following cervical spine fracture including sequelae such as bilateral lower-extremity weakness, loss of upper extremity motor function, and priapism. Decompression of the spinal cord allowed for the identification of the unusual herniation of the spinal cord and prevention of any further worsening of the neurological injury. Hyperflexion of the cervical spine upon traumatic impact provided the impetus for vertebral retropulsion and subsequent incarceration of the spinal cord. This phenomenon should be considered in the setting of acute traumatic injury to the cervical spinal cord. Surgical intervention is likely to allow the preservation of the remaining neurological function.
脊髓疝（SCH）是一种罕见的创伤性事件，对于出现异常自主神经和运动功能障碍组合的椎体骨折患者应予以考虑。在此，我们描述了一例颈椎骨折后神经功能迅速恶化的病例，包括双侧下肢无力、上肢运动功能丧失和阴茎异常勃起等后遗症。脊髓减压使得能够识别出脊髓的异常疝出，并防止神经损伤进一步恶化。创伤撞击时颈椎的过度屈曲为椎体后移及随后脊髓嵌顿提供了动力。在急性颈脊髓创伤的情况下应考虑到这种现象。手术干预可能有助于保留剩余的神经功能。
