From the Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska.
J Am Acad Orthop Surg Glob Res Rev. 2020 May;4(5):e1900127. doi: 10.5435/JAAOSGlobal-D-19-00127.
A 63-year-old man sustained a Jefferson fracture and was treated nonoperatively by a separate treating surgeon. Because of the symptomatic malalignment and nonunion after 6 months of nonsurgical management, the patient was seen for a second opinion. Occiput to C3 arthrodesis was performed. Postoperatively, the patient was diagnosed with a bilateral hypoglossal nerve palsy. Hypoglossal nerve injuries after cervical spine fractures and posterior cervical procedures are a very rare occurrence. This is the first case report of a bilateral hypoglossal nerve palsy following occipitocervical arthrodesis.
一位 63 岁男性发生 Jefferson 骨折，由另一位治疗医生进行非手术治疗。由于在非手术治疗 6 个月后出现症状性对线不良和骨不连，患者寻求第二意见。行枕颈融合术。术后，患者被诊断为双侧舌下神经麻痹。颈椎骨折和后路颈椎手术后的舌下神经损伤非常罕见。这是首例报告的枕颈融合术后双侧舌下神经麻痹病例。
