Rehman Riaz Ur, Akhtar Muhammad Shaheer, Bibi Amna
Department of Neurosurgery, Lady Reading Hospital.
Department of General Surgery, Hayatabad Medical Complex, Hayatabad, Peshawar, Pakistan.
Surg Neurol Int. 2022 Apr 8;13:133. doi: 10.25259/SNI_235_2022. eCollection 2022.
Multiple axis fractures with instability are rare and appropriate treatment modalities have not been established.
A 33-year-old male presented with severe neck pain, bilateral upper-extremity numbness, and brisk reflexes in both lower extremities of 14 days' duration after a car accident. The cervical CT revealed an oblique C2 body fracture and asymmetrical neural ring fractures, while the MRI showed a normal C2-3 disk. As traction failed to reduce the fracture, the patient underwent an anterior retropharyngeal approach to release the fracture fragments, followed by posteriorly passing bilateral C2 pedicle lag screws. Eight months later, the patient exhibited full range of motion across the C1-2 level with fusion of the previously noted fractures.
A 33-year-old male with an unstable C2 body fracture and asymmetrical neural ring fractures successfully underwent an anterior retropharyngeal approach to release the fracture fragments, followed by posteriorly passing bilateral C2 pedicle lag screws to achieve stability/fusion.
伴有不稳定的多轴骨折较为罕见，且尚未确立合适的治疗方式。
一名33岁男性在车祸后14天出现严重颈部疼痛、双侧上肢麻木以及双下肢反射亢进。颈椎CT显示C2椎体斜形骨折和不对称的神经环骨折，而MRI显示C2-3椎间盘正常。由于牵引未能复位骨折，患者接受了经咽后前路手术以松解骨折碎片，随后双侧C2椎弓根拉力螺钉后路置入。八个月后，患者C1-2节段活动范围正常，先前骨折已融合。
一名患有不稳定C2椎体骨折和不对称神经环骨折的33岁男性成功接受了经咽后前路手术以松解骨折碎片，随后双侧C2椎弓根拉力螺钉后路置入以实现稳定/融合。
