Agunbiade Samiat, Belton Patrick J, Mesfin Fassil B
Neurosurgery, University of Missouri School of Medicine, Columbia, USA.
Cureus. 2020 Dec 28;12(12):e12342. doi: 10.7759/cureus.12342.
Odontoid fractures typically occur as a result of trauma: high-velocity injuries like motor vehicle accidents in young people and falls for the elderly. Odontoid fractures are the most common cervical spine fractures in patients over 65, with type II being the most common. However, spinal cord transections are rare with these types of injuries, especially without significant fracture displacement, translation or evidence of ligamentous disruption on post-injury imaging. We report a case of a patient who sustained a spinal cord transection secondary to an acute type II odontoid fracture from a ground-level fall, without computed tomography radiographic evidence of cord disruption or impingement.
年轻人中如机动车事故等高速损伤，老年人中则多因跌倒。齿状突骨折是65岁以上患者中最常见的颈椎骨折，其中II型最为常见。然而，这类损伤导致脊髓横断很少见，尤其是在损伤后影像学检查没有明显骨折移位、平移或韧带断裂迹象的情况下。我们报告一例患者，因平地跌倒导致急性II型齿状突骨折继发脊髓横断，损伤后计算机断层扫描影像学检查未发现脊髓断裂或受压迹象。
