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[使用传统X线技术评估上颈椎骨折和脱位的标准]

[Criteria for evaluating fractures and luxations of the upper cervical vertebrae using conventional x-ray technics].

作者信息

Heuchemer T, Bargon G

出版信息

Rontgenblatter. 1987 Apr;40(4):125-8.

PMID:3602862
Abstract

To assess the diagnostic value of conventional x-ray examination in fresh injuries of the cervical vertebral column, 57 cases of dislocation or fracture of the cervical vertebral column were evaluated. This study revealed the special value of conventional tomography of the cervical vertebral column in vertebral body fractures without essential dislocation of fragments or without disturbing the frame structure of the vertebral bodies. Conventional tomography will always reveal in case of dislocation the exact relative positions of the disjointed articulate areas, whereas in dislocation fractures it is also possible to identify additional fractures in the vertebral arch and articular process areas, even if the x-ray film or plain radiography merely shows a defective position. The individual diagnostic criteria of fracture and dislocation of the upper cervical vertebral column are examined in respect of their diagnostic value.

摘要

为评估传统X线检查在颈椎新鲜损伤中的诊断价值,对57例颈椎脱位或骨折患者进行了评估。本研究揭示了颈椎传统断层扫描在椎体骨折中具有特殊价值,这些骨折无碎骨片的实质性脱位或未扰乱椎体框架结构。传统断层扫描总能在脱位情况下显示脱节关节区域的确切相对位置,而在脱位骨折中,即使X线片或普通X线摄影仅显示位置异常,也有可能识别椎弓和关节突区域的其他骨折。对上颈椎骨折和脱位的个体诊断标准进行了诊断价值方面的检查。

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