Landells C D, Van Peteghem P K
Department of Orthopaedic Surgery, Shaughnessy Hospital/University of British Columbia, Vancouver.
Spine (Phila Pa 1976). 1988 May;13(5):450-2. doi: 10.1097/00007632-198805000-00002.
Fractures of the atlas vertebra are generally considered to be innocuous injuries. A review of 35 patients with C1 fractures treated in the Acute Spinal Cord Injury Unit of Shaughnessy Hospital indicated that long-term morbidity is not as low as was previously thought. Thirteen of 23 patients (56%) followed up a minimum of 1 year post-trauma had significant symptoms of scalp dysesthesia, neck pain, and/or neck stiffness. A classification is presented, and the results of treatment modalities used are reviewed. Based on the findings, the simplest orthosis consistent with appropriate treatment of any of the often associated other spine fractures is recommended. Surgery is reserved for late instability or pain.
寰椎骨折通常被认为是无害的损伤。对在肖纳西医院急性脊髓损伤科接受治疗的35例C1骨折患者的回顾表明，长期发病率并不像以前认为的那么低。在23例创伤后至少随访1年的患者中，有13例（56%）出现头皮感觉异常、颈部疼痛和/或颈部僵硬等明显症状。本文提出了一种分类方法，并对所采用的治疗方式的结果进行了回顾。基于这些发现，推荐使用与适当治疗任何常见相关的其他脊柱骨折相一致的最简单的矫形器。手术仅用于晚期不稳定或疼痛的情况。
