Jacobs S R, Edeiken J, Rubin B, DeHoratius R J
Arch Phys Med Rehabil. 1985 Mar;66(3):188-90.
This case report presents a successful nonoperative outcome of a type II odontoid fracture secondary to severe tophaceous gout. The patient presented with spastic quadriparesis and tophaceous involvement of the odontoid process with fracture and C1-C2 instability. He refused surgery. However, his odontoid process stabilized with the used of a collar, and he regained almost normal strength plus independence in self-care and ambulation, demonstrating that an unstable type II odontoid fracture secondary to tophaceous gout can stabilize with conservative management.
本病例报告展示了一例继发于重度痛风石性痛风的Ⅱ型齿状突骨折非手术治疗成功的结果。患者表现为痉挛性四肢轻瘫，齿状突有痛风石累及并伴有骨折以及C1-C2不稳定。他拒绝手术。然而，通过使用颈托，其齿状突得以稳定，并且他恢复了几乎正常的力量，在自我护理和行走方面实现了自理，这表明继发于痛风石性痛风的不稳定Ⅱ型齿状突骨折可通过保守治疗实现稳定。
