Deburge A, Mazda K, Guigui P
Department of Orthopaedic Surgery, Beaujon Hospital, Clichy, France.
J Bone Joint Surg Br. 1995 Jan;77(1):122-5.
Unstable degenerative spondylolisthesis of the cervical spine is very rare. Slip usually occurs at the C3 on C4 or C4 on C5 levels, immediately above a stiff lower cervical spine. There are two clinical patterns: that with neurological involvement causing cervicobrachial pain or myelopathy and that with neck pain alone. The diagnosis can be made by flexion/extension radiography. All of our eight patients had localised fusion, three anterior and five posterior, and all had satisfactory results one to seven years after operation.
颈椎不稳定的退行性椎体滑脱非常罕见。滑脱通常发生在C3至C4或C4至C5水平，紧邻僵硬的下颈椎上方。有两种临床类型：一种伴有神经受累，导致颈臂疼痛或脊髓病；另一种仅伴有颈部疼痛。诊断可通过屈伸位X线片做出。我们的8例患者均进行了局部融合，3例前路融合，5例后路融合，术后1至7年所有患者效果均满意。
