Scheyerer Max J, Bigdon Sebastian F, Gaudin Robert, Gercek Erol, Müller Christian Walter, Osterhoff Georg, Pumberger Matthias, Ryang Yu-Mi, Scholz Christoph, Schömig Friederike, Spiegl Ulrich Josef Albert, Taheri Nima, Schnake Klaus John
Z Orthop Unfall. 2024 Aug;162(4):429-443. doi: 10.1055/a-2190-3115. Epub 2024 Aug 8.
Around a third of all cervical spine injuries occur in the upper cervical spine in the area between the occiput and the second cervical vertebra. The latter being the most common location of the injury with around 70%. But also atlas fractures, occipital condyle fractures, traumatic spondylolisthesis of C2, atypical fractures in the corpus area as well as atlantooccipital and atlantoaxial ligamentous lesions should be mentioned in connection with injuries in this area. In many cases, conservative therapy regimen is possible. In unstable or displaced injuries, however, surgical intervention is required, with various surgical procedures being used. The frequency, diagnostics, classification, and standard therapy of the individual entities are presented in detail in this continuing medical education article.
约三分之一的颈椎损伤发生在枕骨与第二颈椎之间区域的上颈椎。后者是最常见的损伤部位,约占70%。但在此区域损伤方面,还应提及寰椎骨折、枕髁骨折、C2创伤性椎体滑脱、椎体区域的非典型骨折以及寰枕和寰枢韧带损伤。在许多情况下,保守治疗方案是可行的。然而,对于不稳定或移位性损伤,则需要手术干预,并采用各种手术方法。在这篇继续医学教育文章中,将详细介绍各个病种的发生率、诊断、分类及标准治疗方法。