Brunon J, Robin M, Mansuy L
Neurochirurgie. 1978;24(5):337-42.
Two cases of atlanto axial dislocation with late neurological manifestations are reported and the very few cases of the literature are reviewed. The clinical signs are non specific. Excellent lateral tomography must demonstrate the abnormal space between atlas and axis. Surgical treatment includes bone fusion after reduction of the dislocation by cautious skull-traction. The results are excellent if the operation is performed before the onset of severe neurological deficits.
报告了两例伴有迟发性神经表现的寰枢椎脱位病例,并对文献中极少的病例进行了综述。临床体征不具特异性。高质量的侧位断层扫描必须显示出寰椎和枢椎之间的异常间隙。手术治疗包括在通过谨慎的颅骨牵引复位脱位后进行骨融合。如果在严重神经功能缺损出现之前进行手术,效果极佳。