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老年患者并存寰枢椎半脱位与椎管狭窄的多模式管理：1例病例报告及文献综述

Multimodal Management of Coexisting Atlantoaxial Subluxation and Spinal Stenosis in an Older Adult: A Case Report and Literature Review.

作者信息

Yau Kristy, Chu Eric Chun-Pu, Zhao Jason G, Lee Linda Yin-King, Tao Cliff

机构信息

Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong, CHN.

School of Nursing and Health Studies, Hong Kong Metropolitan University, Kowloon, HKG.

出版信息

Cureus. 2024 Jan 1;16(1):e51442. doi: 10.7759/cureus.51442. eCollection 2024 Jan.

DOI:10.7759/cureus.51442
PMID:38298323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10828745/
Abstract

This case report investigates the diagnostic and therapeutic challenges caused by the coexistence of atlantoaxial subluxation and spinal stenosis in a 70-year-old male patient with chronic progressive numbness in both hands. A detailed assessment showed that the patient's symptoms were primarily caused by spinal stenosis, not atlantoaxial subluxation. Considering the patient's age and preference for nonsurgical treatment, a conservative chiropractic care plan was implemented, significantly improving his symptoms and quality of life. This case highlights the potential benefit of conservative chiropractic care in managing such complex cases, emphasizes the need for meticulous diagnosis, and requires further research to validate these findings and develop comprehensive management guidelines.

摘要

本病例报告探讨了一名70岁男性患者双手慢性进行性麻木，同时存在寰枢椎半脱位和椎管狭窄所带来的诊断和治疗挑战。详细评估显示，患者的症状主要由椎管狭窄引起，而非寰枢椎半脱位。考虑到患者的年龄和对非手术治疗的偏好，实施了保守的整脊护理计划，显著改善了他的症状和生活质量。本病例突出了保守整脊护理在处理此类复杂病例中的潜在益处，强调了精确诊断的必要性，并且需要进一步研究以验证这些发现并制定全面的管理指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/d8e2df359e76/cureus-0016-00000051442-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/417e1dc84807/cureus-0016-00000051442-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/80893d53d614/cureus-0016-00000051442-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/5f428c27d6de/cureus-0016-00000051442-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/d8e2df359e76/cureus-0016-00000051442-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/417e1dc84807/cureus-0016-00000051442-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/80893d53d614/cureus-0016-00000051442-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/5f428c27d6de/cureus-0016-00000051442-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a847/10828745/d8e2df359e76/cureus-0016-00000051442-i04.jpg

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本文引用的文献

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2
Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy.一名10岁男孩的寰枢椎旋转半脱位
Clin Med Insights Arthritis Musculoskelet Disord. 2020 Jul 1;13:1179544120939069. doi: 10.1177/1179544120939069. eCollection 2020.
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Secondary atlantoaxial subluxation in isolated cervical dystonia-a case report.
孤立性颈部肌张力障碍继发寰枢椎半脱位——病例报告
AME Case Rep. 2020 Apr 30;4:9. doi: 10.21037/acr.2020.03.03. eCollection 2020.
4
Unusual Cause of Dysphagia in a Patient With Cervical Spondylosis.颈椎病患者吞咽困难的罕见病因
Clin Med Insights Case Rep. 2019 Dec 29;12:1179547619882707. doi: 10.1177/1179547619882707. eCollection 2019.
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Neck-tongue syndrome.颈-舌综合征
BMJ Case Rep. 2018 Dec 4;11(1):e227483. doi: 10.1136/bcr-2018-227483.
6
Increasing the cervical and lumbar lordosis is possible despite overt osteoarthritis and spinal stenosis using extension traction to relieve low back and leg pain in a 66-year-old surgical candidate: a CBP case report.对于一名66岁的手术候选患者，尽管存在明显的骨关节炎和椎管狭窄，但通过伸展牵引增加颈椎和腰椎前凸以缓解腰腿痛是可行的：一例脊椎生物力学矫正（CBP）病例报告
J Phys Ther Sci. 2018 Nov;30(11):1364-1369. doi: 10.1589/jpts.30.1364. Epub 2018 Nov 6.
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J Phys Ther Sci. 2018 Jan;30(1):108-112. doi: 10.1589/jpts.30.108. Epub 2018 Jan 27.
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Global Spine J. 2014 Aug;4(3):197-210. doi: 10.1055/s-0034-1376371. Epub 2014 May 22.
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