Howcroft A J, Jenkins D H
J Bone Joint Surg Br. 1977 Feb;59(1):93-4. doi: 10.1302/0301-620X.59B1.845237.
The case is reported of an elderly man with asymptomatic cervical spondylosis who sustained a minor hyperextension injury of the cervical spine when the brakes of a car were applied suddenly to avoid a collision. Within six hours marked swelling of the neck and severe dyspnoea developed, and a lateral radiograph showed the pharyngeal shadow displaced far forwards and a crack fracture of an anterior osteophyte. Tracheostomy and evacuation of a massive prevertebral haematoma were performed, with immediate relief. The case draws attention to the possibility of this serious complication of a "whiplash" type of injury.
报告了一例患有无症状颈椎病的老年男性病例，该患者在汽车突然刹车以避免碰撞时，颈椎受到轻度过伸损伤。在六小时内，颈部出现明显肿胀并伴有严重呼吸困难，一张侧位X线片显示咽部阴影向前移位很远，且一个前方骨赘出现裂纹骨折。进行了气管切开术并清除了大量椎体前血肿，症状立即缓解。该病例提醒人们注意这种“挥鞭样”损伤的严重并发症的可能性。
