Yuh Sung-Joo, Wang Zhi, Boubez Ghassan, Shedid Daniel
Department of Neurosurgery, Hopital Maisonneuve-Rosemont, Québec, Canada.
Department ofNeurosurgery, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Surg Neurol Int. 2020 Dec 22;11:449. doi: 10.25259/SNI_479_2020. eCollection 2020.
Jefferson fractures are burst fractures involving both the anterior and posterior arches of C1. They typically result from axial compression or hyperextension injuries. Most are stable, and neurological deficits are rare. They are often successfully treated with external immobilization, but require surgery (e.g., fusion/ stabilization).
An 89-year-old male presented with a left-sided hemiplegia following a trivial fall. The cervical computed tomography scan revealed a left-sided displaced comminuted C1 fracture involving the arch and lateral mass. The MR revealed posterior cord compression and focal myelomalacia. Six months following an emergent C1-C3 decompression with occiput to C4 instrumented fusion, the patient was neurologically intact and pain-free.
An 89-year-old male presented with a left-sided hemiplegia due to a Type 3/4 C1 Jefferson fracture. Following posterior C1-C3 surgical decompression with C0-C4 instrumented fusion, the patient sustained a complete bilateral motor recovery.
杰斐逊骨折是累及寰椎前后弓的爆裂性骨折。它们通常由轴向压缩或伸展过度损伤引起。大多数骨折是稳定的，神经功能缺损很少见。它们通常通过外部固定成功治疗，但需要手术（例如融合/稳定）。
一名89岁男性在一次轻微跌倒后出现左侧偏瘫。颈椎计算机断层扫描显示左侧移位的粉碎性寰椎骨折，累及椎弓和侧块。磁共振成像显示脊髓后索受压和局灶性脊髓软化。在紧急进行寰椎至第三颈椎减压并枕骨至第四颈椎器械融合术后六个月，患者神经功能完好且无疼痛。
一名89岁男性因3/4型寰椎杰斐逊骨折出现左侧偏瘫。在进行寰椎至第三颈椎后路手术减压并枕骨至第四颈椎器械融合术后，患者双侧运动功能完全恢复。
