Andersen H T
Institute of Aviation Medicine, Oslo, Norway.
Aviat Space Environ Med. 1988 Apr;59(4):356-8.
Neck pain is a frequent complaint among aviators flying high performance fighter (HPF) aircraft. However, very few--if any--cases of subjective symptoms have been confirmed by objective methods and reported in the literature. The present paper relates an incident of documented injury of the cervical spine which occurred during an abrupt and violent maneouver in the F16B. The rear seat occupant, a flight surgeon, who had just handed over controls to the instructor flying from the front seat, was caught unaware. He suffered a ligament injury C5-6 and a sliding of the C6 relative to the C5. It is concluded: 1) The accelerative forces in HPF aircraft can cause serious injury to the cervical spine and its supporting structures in the neck. 2) Aircrew not engaged in the flying task may be at risk if left ignorant of pilots' intentions. 3) Lightweight helmets reduce the medical hazards imposed upon aviators in the high-G environment. 4) Specific exercises aimed at strengthening the neck muscles are encouraged.
颈部疼痛是高性能战斗机（HPF）飞行员中常见的主诉。然而，极少有（如果有的话）主观症状的病例通过客观方法得到证实并在文献中报道。本文讲述了一起颈椎损伤事件，该事件发生在F16B战斗机的一次突然剧烈机动过程中。后座乘员是一名飞行外科医生，他刚将控制权交给从前座飞行的教员，毫无防备。他遭受了C5 - 6韧带损伤以及C6相对于C5的滑动。得出以下结论：1）高性能战斗机中的加速力可对颈椎及其颈部支撑结构造成严重损伤。2）未参与飞行任务的空勤人员如果对飞行员的意图不知情，可能会面临风险。3）轻型头盔可降低高重力环境对飞行员造成的医疗风险。4）鼓励进行旨在增强颈部肌肉的特定锻炼。
