Kurimoto M, Endo S, Ikeda S, Masuda R, Takaku A, Horie Y
Department of Neurosurgery, Toyama Medical and Pharmaceutical University.
No Shinkei Geka. 1996 Jul;24(7):671-4.
The authors present a case of atlanto-axial rotatory fixation associated with Jefferson's fracture. A 52-year-old man was admitted to our hospital complaining of severe neck pain and torticollis after a traffic accident. Cervical x-ray films showed fracture of the atlas. CT scans demonstrated traumatic subarachnoid hemorrhage and atlanto-axial rotatory fixation. The patient was managed with skull traction and reposition was achieved. Although he was maintained in a halo device for 4 months, rotary fixation recurred. He underwent posterior fusion between the atlas and axis. We review the literature and discuss the diagnostic problems and methods of treatment for atlanto-axial rotatory fixation.
作者报告了一例与Jefferson骨折相关的寰枢椎旋转固定病例。一名52岁男性因交通事故后颈部剧痛和斜颈入院。颈椎X线片显示寰椎骨折。CT扫描显示创伤性蛛网膜下腔出血和寰枢椎旋转固定。患者接受颅骨牵引并成功复位。尽管他佩戴头环固定装置4个月，但旋转固定复发。他接受了寰椎与枢椎之间的后路融合术。我们回顾了文献并讨论了寰枢椎旋转固定的诊断问题和治疗方法。
