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分娩期间颈椎骨折脱位的放射学表现

Radiology of fracture-dislocation of the cervical spine during delivery.

作者信息

Stanley P, Duncan A W, Isaacson J, Isaacson A S

出版信息

AJR Am J Roentgenol. 1985 Sep;145(3):621-5. doi: 10.2214/ajr.145.3.621.

DOI:10.2214/ajr.145.3.621
PMID:3875265
Abstract

Four infants with fracture-dislocation of the cervical spine after traumatic delivery are described. In one patient with tetraparesis and complete dislocation of the cervical spine, transection of the cord at C6 was shown at autopsy. Two patients had fractures through the superior cartilaginous plates of the vertebral body with anterior subluxation of the spine. A fourth patient had a vertical fracture through the body of C5 with tracheal compression secondary to anterior dislocation of the spine. With conservative therapy, these three patients had good clinical recovery with healing and remodeling of the fractured vertebrae.

摘要

本文描述了4例分娩创伤后颈椎骨折脱位的婴儿。其中1例患有四肢轻瘫且颈椎完全脱位的患者,尸检显示颈6水平脊髓横断。2例患者椎体上软骨板骨折伴脊柱前半脱位。第4例患者C5椎体垂直骨折,继发于脊柱前脱位的气管受压。经保守治疗,这3例患者临床恢复良好,骨折椎体愈合且重塑。

相似文献

1
Radiology of fracture-dislocation of the cervical spine during delivery.分娩期间颈椎骨折脱位的放射学表现
AJR Am J Roentgenol. 1985 Sep;145(3):621-5. doi: 10.2214/ajr.145.3.621.
2
Fracture and dislocation of the fourth and fifth cervical vertebral bodies with transection of the spinal cord.第四、五颈椎椎体骨折脱位伴脊髓横断伤。
Clin Orthop Relat Res. 1989 Nov(248):158-62.
3
Traumatic dislocation of the cervical spine.颈椎外伤性脱位
JAMA. 1973 Jun 18;224(12):1647-8.
4
Occult traumatic lesions of the cervical vertebrae.颈椎隐匿性创伤性损伤
CRC Crit Rev Clin Radiol Nucl Med. 1975 Sep;6(4):469-553.
5
Observation of "tear-drop" fracture-dislocation of the cervical spine by computerized tomography.颈椎“泪滴样”骨折脱位的计算机断层扫描观察
Nihon Seikeigeka Gakkai Zasshi. 1983 Apr;57(4):373-8.
6
A unique cervical spine fracture-dislocation: case report.一种独特的颈椎骨折脱位:病例报告。
J Miss State Med Assoc. 1986 Jul;27(7):179-82.
7
[Criteria for evaluating fractures and luxations of the upper cervical vertebrae using conventional x-ray technics].[使用传统X线技术评估上颈椎骨折和脱位的标准]
Rontgenblatter. 1987 Apr;40(4):125-8.
8
[Treatment of injuries of the cervical spine in newborn infants].[新生儿颈椎损伤的治疗]
Vestn Khir Im I I Grek. 1983 Aug;131(8):73-6.
9
Fracture dislocation of the cervical spine with gross displacement. Case report.颈椎骨折脱位伴明显移位。病例报告。
J Neurosurg. 1975 Feb;42(2):209-11. doi: 10.3171/jns.1975.42.2.0209.
10
Fracture-dislocation of the cervical spine with ankylosing spondylitis. Report of two cases.颈椎骨折脱位合并强直性脊柱炎。两例报告。
J Neurosurg. 1973 Dec;39(6):764-9. doi: 10.3171/jns.1973.39.6.0764.

引用本文的文献

1
Birth-related spinal cord injuries: a multicentric review of nine cases.分娩相关脊髓损伤:9例多中心回顾分析
Childs Nerv Syst. 2008 Jan;24(1):79-85. doi: 10.1007/s00381-007-0437-z. Epub 2007 Jul 14.
2
Imaging of cervical spine injuries of childhood.儿童颈椎损伤的影像学检查
Skeletal Radiol. 2007 Jun;36(6):477-94. doi: 10.1007/s00256-006-0223-0. Epub 2006 Oct 24.