Yochum T R, Carton J T, Barry M S
Rocky Mountain Chiropractic Radiological Center, Denver, CO, USA.
J Manipulative Physiol Ther. 1995 Jul-Aug;18(6):411-5.
To discuss an interesting case depicting multiple levels of cervical spondylolysis. Differential diagnosis and a brief review of the literature are discussed.
A 24-yr-old man suffered from constant neck discomfort of approximately 4 months' duration. After physical examination, X-rays were performed and revealed multiple congenital anomalies. The patient's symptoms are considered independent of the radiographic findings.
This patient was successfully treated with conservative chiropractic management and experienced complete resolution of his presenting symptoms.
This case nicely demonstrates the congenital nature of cervical spondylolysis. It is unusual in that no prior case report has described three levels of involvement. The spondylolysis and other changes of the neural arch should not be confused with fracture.
探讨一例显示颈椎椎弓根崩裂多节段的有趣病例。讨论鉴别诊断并对文献进行简要回顾。
一名24岁男性持续颈部不适约4个月。体格检查后进行了X线检查，发现多处先天性异常。患者的症状被认为与影像学表现无关。
该患者通过保守的整脊治疗成功治愈，目前症状完全消失。
本病例很好地证明了颈椎椎弓根崩裂的先天性本质。其不同寻常之处在于，此前尚无病例报告描述过三个节段受累的情况。椎弓根崩裂及神经弓的其他改变不应与骨折相混淆。
