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[老年女性患者无颈椎骨折的创伤性寰枢椎后脱位:病例报告及文献检索]

[Traumatic posterior atlantoaxial dislocation without fracture of the upper cervical spine in a female geriatric patient : Case report and literature search].

作者信息

Wunder Johannes, Schirdewahn Christoph, von Rüden Christian

机构信息

Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Klinikum Weiden, Söllnerstr. 16, 92637, Weiden in der Oberpfalz, Deutschland.

Institut für Biomechanik, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich.

出版信息

Unfallchirurgie (Heidelb). 2024 Jul;127(7):543-546. doi: 10.1007/s00113-024-01445-x. Epub 2024 May 30.

DOI:10.1007/s00113-024-01445-x
PMID:38814463
Abstract

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.

摘要

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。

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1
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Unfallchirurgie (Heidelb). 2024 Jul;127(7):543-546. doi: 10.1007/s00113-024-01445-x. Epub 2024 May 30.
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本文引用的文献

1
The Use of Intraoperative Neuromonitoring for Cervical Spine Surgery: Indications, Challenges, and Advances.术中神经监测在颈椎手术中的应用:适应证、挑战与进展。
J Clin Med. 2023 Jul 13;12(14):4652. doi: 10.3390/jcm12144652.
2
Traumatic posterior atlantoaxial dislocation without fracture of the odontoid process: illustrative case.创伤性寰枢椎后脱位且无齿突骨折:病例展示
J Neurosurg Case Lessons. 2022 Nov 7;4(19). doi: 10.3171/CASE22330.
3
Surgical Management for Posterior Atlantoaxial Dislocation without Fracture and Atlantoaxial Dynamic Test to Confirm the Integrity of the Transverse Ligament: A Case Report.
后路寰枢椎脱位且无骨折患者的手术治疗与寰枢椎动力位试验对横韧带完整性的确认:病例报告。
Orthop Surg. 2022 Feb;14(2):451-455. doi: 10.1111/os.13095. Epub 2021 Dec 15.
4
Early reoccurrence of traumatic posterior atlantoaxial dislocation without fracture: A case report.无骨折的创伤性寰枢椎后脱位早期复发:一例报告
World J Clin Cases. 2021 Feb 26;9(6):1461-1468. doi: 10.12998/wjcc.v9.i6.1461.
5
Posterior atlantoaxial dislocation without fracture or neurological symptoms treated by transoral-posterior approach surgery: a case report and literature review.经口后路手术治疗无骨折或神经症状的寰枢后脱位:病例报告及文献复习。
Eur Spine J. 2019 Jun;28(Suppl 2):37-40. doi: 10.1007/s00586-018-5823-6. Epub 2018 Nov 17.
6
Traumatic Posterior Atlantoaxial Dislocation Without Associated Fracture but With Neurological Deficit: A Case Report and Literature Review.创伤性寰枢椎后脱位,无相关骨折但伴有神经功能缺损:一例报告及文献综述
Medicine (Baltimore). 2015 Oct;94(43):e1768. doi: 10.1097/MD.0000000000001768.
7
[Dislocation of the atlantoaxial joint].[寰枢关节脱位]
Unfallchirurg. 2014 Jun;117(6):568-71. doi: 10.1007/s00113-013-2430-1.
8
Posterior atlantoaxial dislocation without fracture and neurologic deficit: a case report and the review of literature.寰枢椎后脱位无骨折及神经功能缺损:病例报告及文献复习。
Eur Spine J. 2010 Jul;19 Suppl 2(Suppl 2):S118-23. doi: 10.1007/s00586-009-1150-2. Epub 2009 Aug 28.
9
Traumatic posterior atlantoaxial dislocation without neurological deficit: case report.无神经功能缺损的创伤性寰枢椎后脱位:病例报告
Neurosurgery. 1983 Feb;12(2):211-3. doi: 10.1227/00006123-198302000-00014.
10
Posterior dislocation of the atlas on the axis without fracture. Report of a case.寰椎在枢椎上无骨折的后脱位。病例报告。
J Bone Joint Surg Am. 1969 Apr;51(3):561-6.