Pásztor E, Lázár L, Benedek T, Gábor A, Kozma L, Dombai M
Acta Neurochir (Wien). 1987;85(3-4):159-67. doi: 10.1007/BF01456113.
15 patients presented with cervical spine dislocation and kyphotic spondylosis due to traumatic fracture and vertebral body tumour underwent surgical decompression and fixation via the anterior approach in one stage. Decompression was achieved by resection of the body of the vertebra while fixation meant implantation of iliac bone graft with metal plate fixation. Early reduction of the dislocation was impossible or insufficient in most of the cases. Therefore the majority of operations were "late decompression". Patients with root or partial cord lesions had the most significant improvement. In some selected cases, however, who suffered from a total cord lesion due to C6 or C7 fracture-dislocation, surgical decompression of the C7 and/or C8 roots by resection of the C6 or C7 vertebral bodies could lead to useful motor improvement in the hands and the fingers.
15例因创伤性骨折和椎体肿瘤导致颈椎脱位和后凸性脊柱炎的患者接受了一期前路手术减压和固定。减压通过切除椎体来实现，而固定则意味着植入髂骨并进行金属板固定。在大多数情况下，早期复位脱位是不可能的或不充分的。因此，大多数手术是“晚期减压”。神经根或部分脊髓损伤的患者改善最为显著。然而，在一些因C6或C7骨折脱位导致完全性脊髓损伤的特定病例中，通过切除C6或C7椎体对C7和/或C8神经根进行手术减压可使手部和手指的运动得到有效改善。
