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保守治疗的颈椎创伤后遗症

[Sequelae of traumatic injury to the cervical spine treated conservatively].

作者信息

Gusta A, Wasilewski K

机构信息

Kliniki Traumatologii PAM w Szczecinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1993;58(4):289-93.

PMID:7671709
Abstract

A series of 37 patients with traumatic cervical spine injury has been examined 2 years after the accident on the average. Clinical assessment was followed by taking stress radiographs in functional positions. Redislocations, axial deformities and instability at the site of the injury have been found in 21 patients. Instability was caused by scarification and destruction of the injured disc. Secondary displacements occurred after vertebral dislocation or subluxation and axial deformities usually after crush fracture. Instability due to the ligamentous injury within rear column of the spine and partial disc injury was most frequently observed in young patients with general joint laxity.

摘要

对一系列37例创伤性颈椎损伤患者在事故发生后平均2年进行了检查。临床评估后,拍摄了功能位的应力X线片。在21例患者中发现了损伤部位的再脱位、轴向畸形和不稳定。不稳定是由损伤椎间盘的瘢痕形成和破坏引起的。继发移位发生在椎体脱位或半脱位后,轴向畸形通常发生在压缩骨折后。脊柱后柱韧带损伤和部分椎间盘损伤导致的不稳定在具有全身关节松弛的年轻患者中最为常见。

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