Wunder Johannes, Schirdewahn Christoph, von Rüden Christian
Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Klinikum Weiden, Söllnerstr. 16, 92637, Weiden in der Oberpfalz, Deutschland.
Institut für Biomechanik, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich.
Unfallchirurgie (Heidelb). 2024 Jul;127(7):543-546. doi: 10.1007/s00113-024-01445-x. Epub 2024 May 30.
Traumatic posterior atlantoaxial dislocation (PAAD) without detection of a fracture of the upper cervical spine is a very rare injury that usually occurs in younger patients and in most cases leads to immediate death due to distraction of the spinal cord. In contrast, the present case describes this injury in a female geriatric patient at the age of 75 years. In the literature there are also clinical case reports, where traumatic PAAD without a fracture did not result in neurological deficits and where initially existing neurological deficits were completely reversible through closed or open reduction and internal fixation.
未检测到上颈椎骨折的创伤性寰枢椎后脱位(PAAD)是一种非常罕见的损伤,通常发生在年轻患者中,大多数情况下会因脊髓牵张而导致立即死亡。相比之下,本病例描述的是一名75岁老年女性患者的这种损伤。文献中也有临床病例报告,未发生骨折的创伤性PAAD并未导致神经功能缺损,以及最初存在的神经功能缺损通过闭合或开放复位及内固定完全可逆。