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颈椎完全骨折脱位且无永久性神经后遗症。病例报告。

Complete fracture-dislocation of cervical spine without permanent neurological sequelae. Case report.

作者信息

Baker R P, Grubb R L

出版信息

J Neurosurg. 1983 May;58(5):760-2. doi: 10.3171/jns.1983.58.5.0760.

Abstract

A case of complete fracture-dislocation of the lower cervical spine in which there were no permanent neurological sequelae is presented. The absence of permanent neurological deficits with this type of injury is rare. The primary mechanism of injury in this patient was believed to be hyperextension with rupture of the ligamentous structures, allowing complete dislocation of the C-6 body while the posterior elements remained in good alignment due to multiple fractures which "decompressed" the spinal cord.

摘要

本文报告一例下颈椎完全骨折脱位病例,该病例未出现永久性神经后遗症。此类损伤未出现永久性神经功能缺损的情况较为罕见。据信该患者的主要损伤机制为过伸伴韧带结构断裂,致使C-6椎体完全脱位,而后方结构因多处骨折保持良好对线,这些骨折对脊髓起到了“减压”作用。

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