鉴别假性半脱位与真性损伤：一例小儿 C2-3 和 C3-4 半脱位病例。

Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient.

机构信息

From the Virginia Commonwealth University Department of Orthopaedics, Richmond, VA (Dr. O'Neill); Virginia Tech Carilion School of Medicine, Roanoke, VA (Ms. Wenzel and Dr. Carmouche); University of Washington Department of Orthopaedic and Sports Medicine, Seattle, WA (Dr. Walterscheid); and Carilion Clinic Department of Orthopaedics, Roanoke, VA (Dr. Carmouche).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 2;5(12):01979360-202112000-00002. doi: 10.5435/JAAOSGlobal-D-20-00238.

DOI:10.5435/JAAOSGlobal-D-20-00238

PMID:34860729

Abstract

A 6-year-old girl presented with a one-week history of neck pain after a trampoline accident. Cervical radiographs interpreted as pseudosubluxation of C2 on C3. CT demonstrated the reversal of lordosis with anterolisthesis of C2-C3 and C3-C4. Ten weeks after two months of halo traction, radiographs demonstrated anatomic alignment and maintained disk heights. This case highlights the similarities of pseudosubluxation and true injury, emphasizing the need for high index of suspicion in this population and a successful treatment of subluxation using a halo construct.

摘要

一位 6 岁女孩因蹦床事故出现颈部疼痛一周，颈椎 X 线片提示 C2 在 C3 上假性半脱位。CT 显示 C2-C3 和 C3-C4 前滑脱伴脊柱前凸消失。头环牵引两个月后 10 周，X 线片显示解剖对线良好且椎间盘高度维持。本病例强调了假性半脱位和真性损伤的相似性，提示对此类人群应保持高度警惕，使用头环固定治疗半脱位可获得成功。