Pereira Catarina Silva, Lopes António Lemos, Rodrigues-Pinto Ricardo
Spinal Unit (UVM), Department of Orthopaedics, Centro Hospitalar Universitário do Porto, Porto.
Department of Orthopedics, Centro Hospitalar de Trásos-Montes e Alto Douro, Vila Real, Portugal.
Surg Neurol Int. 2021 Feb 10;12:47. doi: 10.25259/SNI_761_2020. eCollection 2021.
Sports related cervical spine trauma may range from minor injuries to severe life-threatening fractures with spinal cord injuries as following paragliding accidents.
A 52-year-old male sustained C4-C5 and C6-C7 fracture-dislocations (American Spinal Injury Association-D) attributed to a paragliding accident. He underwent a C5 corpectomy with C4-C6 anterior fusion. Three years later, he again sustained a paragliding accident, now resulting in a C6-C7 fracture-dislocation that required a C6-C7 anterior discectomy fusion. However, when this latter fusion "failed" 1 month later, he subsequently required a 360° fusion performed as a two-stage procedure. Further, 2 years later, he was involved in a motor vehicle accident resulting in an odontoid fracture.
Unstable spinal fractures require surgical fixation to prevent neurological injury. Long cervical fusions create lever arms that increase the stress to adjacent levels, rendering them prone to future injury.
与运动相关的颈椎创伤范围可从轻度损伤到严重的危及生命的骨折并伴有脊髓损伤，如下降伞事故。
一名52岁男性因滑翔伞事故导致C4 - C5和C6 - C7骨折脱位（美国脊髓损伤协会分级-D级）。他接受了C5椎体次全切除术及C4 - C6前路融合术。三年后，他再次遭遇滑翔伞事故，此次导致C6 - C7骨折脱位，需要进行C6 - C7前路椎间盘切除融合术。然而，在后者融合术后1个月“失败”，随后他需要分两阶段进行360°融合术。此外，两年后，他遭遇机动车事故，导致齿状突骨折。
不稳定脊柱骨折需要手术固定以预防神经损伤。颈椎长节段融合会形成杠杆臂，增加相邻节段的应力，使其易于未来受伤。
