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寰椎水平骨折——一种罕见但不稳定的C1骨折。

Horizontal fracture of the atlas - A rare but unstable C1 fracture.

作者信息

Brown Jennifer, Hegde Ajay

机构信息

Department of Neurosurgery, Institute of Neurological Sciences, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK.

出版信息

J Craniovertebr Junction Spine. 2020 Oct-Dec;11(4):338-341. doi: 10.4103/jcvjs.JCVJS_143_20. Epub 2020 Nov 26.

DOI:10.4103/jcvjs.JCVJS_143_20
PMID:33824565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8019112/
Abstract

Horizontal fractures of the atlas are uncommon fractures associated with instability of the craniocervical junction. Most commonly associated with high-speed motor vehicle accidents, these fractures need to be identified and treated appropriately. Due to its relatively benign presentation on bony imaging, magnetic resonance imaging to look for ligamentous instability is important. We present two such cases which were managed by occipitocervical fusion at our institute.

摘要

寰椎水平骨折是与颅颈交界区不稳定相关的罕见骨折。这些骨折最常与高速机动车事故有关，需要进行正确的识别和治疗。由于其在骨质影像上表现相对不严重，因此通过磁共振成像来检查韧带是否不稳定很重要。我们在此介绍两例在我院通过枕颈融合术治疗的此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a09b/8019112/acc76ac11488/JCVJS-11-338-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a09b/8019112/f2730aec8280/JCVJS-11-338-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a09b/8019112/acc76ac11488/JCVJS-11-338-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a09b/8019112/f2730aec8280/JCVJS-11-338-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a09b/8019112/acc76ac11488/JCVJS-11-338-g002.jpg

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1
Horizontal fracture of the atlas - A rare but unstable C1 fracture.寰椎水平骨折——一种罕见但不稳定的C1骨折。
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2
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本文引用的文献

1
Rare atlas fracture detected using postmortem computed tomography: A case report.利用死后计算机断层扫描检测到的罕见寰椎骨折：一例报告。
J Forensic Leg Med. 2018 Nov;60:38-41. doi: 10.1016/j.jflm.2018.09.008. Epub 2018 Sep 26.
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Management of isolated fractures of the atlas in adults.成人寰椎孤立性骨折的治疗
Neurosurgery. 2013 Mar;72 Suppl 2:127-31. doi: 10.1227/NEU.0b013e318276ee2a.
3
Horizontal C-1 fractures in association with unstable distraction injuries of the craniocervical junction.颅颈交界区不稳定分离损伤伴发的水平 C-1 骨折。
J Neurosurg Spine. 2011 Aug;15(2):182-6. doi: 10.3171/2011.3.SPINE10756.
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Atlas fractures.寰枢椎骨折。
Neurosurgery. 2010 Mar;66(3 Suppl):60-7. doi: 10.1227/01.NEU.0000366108.02499.8F.
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Diagnostic determinants of craniocervical distraction injury in adults.成人颅颈牵张性损伤的诊断决定因素
AJR Am J Roentgenol. 2009 Jan;192(1):52-8. doi: 10.2214/ajr.07.3993.
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[Isolated direct fracture of the atlas].[寰椎孤立性直接骨折]
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