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未行颅骨固定的枢椎骨折后路固定术后吞咽困难：一例报告

Postoperative Dysphagia Subsequent to Posterior Fixation of an Axis Fracture Without Cranial Fixation: A Case Report.

作者信息

Yoshiyama Takaki

机构信息

Orthopedics, Osaka Red Cross Hospital, Osaka, JPN.

出版信息

Cureus. 2023 Mar 25;15(3):e36664. doi: 10.7759/cureus.36664. eCollection 2023 Mar.

DOI:10.7759/cureus.36664
PMID:37101990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10124316/
Abstract

The incidence of dysphagia following cervical fusion, which involves the occipital bone, is well established. However, dysphagia occurring after cervical fusion not involving the occipital bone is exceedingly rare. We present a case report of a 54-year-old male who developed unexplained dysphagia subsequent to posterior fusion up to C1-3 for an axis fracture.

摘要

涉及枕骨的颈椎融合术后吞咽困难的发生率已得到充分证实。然而，不涉及枕骨的颈椎融合术后发生吞咽困难的情况极为罕见。我们报告一例54岁男性病例，该患者因枢椎骨折接受了C1 - 3后路融合术后出现了不明原因的吞咽困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/02be2998cc8a/cureus-0015-00000036664-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/23b1c3cbc557/cureus-0015-00000036664-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/099487d9d452/cureus-0015-00000036664-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/02be2998cc8a/cureus-0015-00000036664-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/23b1c3cbc557/cureus-0015-00000036664-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/099487d9d452/cureus-0015-00000036664-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475f/10124316/02be2998cc8a/cureus-0015-00000036664-i03.jpg

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本文引用的文献

1
Hypoglossal Nerve Palsy After Cervical Spine Surgery.颈椎手术后的舌下神经麻痹
Global Spine J. 2017 Apr;7(1 Suppl):37S-39S. doi: 10.1177/2192568216687307. Epub 2017 Apr 1.
2
The Prediction and Prevention of Dysphagia After Occipitospinal Fusion by Use of the S-line (Swallowing Line).使用 S 线（吞咽线）预测和预防枕颈融合术后吞咽困难
Spine (Phila Pa 1976). 2017 May 15;42(10):718-725. doi: 10.1097/BRS.0000000000001963.
3
Tapia syndrome after cervical spine surgery.颈椎手术后的塔皮亚综合征
Korean J Spine. 2013 Dec;10(4):249-51. doi: 10.14245/kjs.2013.10.4.249. Epub 2013 Dec 31.
4
Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia.全麻下颈椎后路手术后的塔皮亚综合征
J Korean Neurosurg Soc. 2013 Nov;54(5):423-5. doi: 10.3340/jkns.2013.54.5.423. Epub 2013 Nov 30.
5
Impact of the O-C2 angle on the oropharyngeal space in normal patients.正常患者的 O-C2 角对鼻咽腔的影响。
Spine (Phila Pa 1976). 2011 May 15;36(11):E720-6. doi: 10.1097/BRS.0b013e3181f9f714.
6
O-C2 angle as a predictor of dyspnea and/or dysphagia after occipitocervical fusion.枕颈融合术后O-C2角作为呼吸困难和/或吞咽困难的预测指标。
Spine (Phila Pa 1976). 2009 Jan 15;34(2):184-8. doi: 10.1097/BRS.0b013e31818ff64e.
7
Upper-airway obstruction after short posterior occipitocervical fusion in a flexed position.短节段枕颈后路融合术后处于屈曲位时的上气道梗阻
Spine (Phila Pa 1976). 2007 Apr 15;32(8):E267-70. doi: 10.1097/01.brs.0000259977.69726.6f.