Francis W R, Fielding J W, Hawkins R J, Pepin J, Hensinger R
J Bone Joint Surg Br. 1981;63-B(3):313-8. doi: 10.1302/0301-620X.63B3.7263740.
A series of 123 patients suffering traumatic spondylolisthesis of the axis is reported. This lesion is associated with extension and axial loading injury, and there is a high incidence of injuries of the face or scalp and of associated fractures of the upper cervical spine. There is a low incidence of neurological injury, which seems paradoxical in the presence of what appears to be gross instability, but protection from extremes of flexion and extension may be adequate treatment. Union is usual regardless of displacement. Traction is a safe means of treatment, but early waking in a halo support reduces time in hospital without jeopardizing the result. Operation is needed only for chronic instability with or without pain, and anterior interbody fusion of C2--3 is than preferred in order to preserve rotation at the atlanto-axial joints.
报告了123例创伤性枢椎滑脱患者。该损伤与伸展和轴向负荷损伤相关，面部或头皮损伤以及上颈椎相关骨折的发生率很高。神经损伤发生率较低，在存在明显不稳定的情况下这似乎自相矛盾，但避免极度屈伸可能是足够的治疗方法。无论有无移位，通常均可愈合。牵引是一种安全的治疗方法，但早期佩戴头环支架起床可减少住院时间且不影响治疗效果。仅在伴有或不伴有疼痛的慢性不稳定情况下才需要手术，为保留寰枢关节的旋转功能，C2-3前路椎间融合术是首选。
