Ide C, Nisolle J F, Misson N, Trigaux J P, Gustin T, De Coene B, Gilliard C
Department of Radiology, Cliniques Universitaires de Mont-Godinne, Yvoir, Belgium.
J Neurosurg. 1998 Apr;88(4):773-6. doi: 10.3171/jns.1998.88.4.0773.
The authors describe an unusual case of a complex traumatic fracture-dissociation injury of the craniovertebral junction, which the patient survived with no neurological damage. This case featured the rare combination of an avulsion of both the right occipital condyle and clivus and a fracture of the left lateral mass of the atlas. Because of the craniocervical ligament injury and the slight anterior occipitoatlantal dislocation, the lesion was considered to be unstable and was treated successfully with a cervical collar. The authors emphasize that thin-slice computerized tomography scanning with multiplanar reconstructions is essential to visualize these fractures, whereas magnetic resonance imaging is useful to assess soft tissues.
作者描述了一例罕见的颅颈交界区复杂创伤性骨折-脱位损伤病例，患者存活且无神经损伤。该病例的特点是右侧枕髁和斜坡均发生撕脱，同时第一颈椎左侧块骨折，这种罕见的组合情况较为特殊。由于颅颈韧带损伤以及枕寰关节轻度前脱位，该损伤被认为是不稳定的，最终通过佩戴颈托成功治愈。作者强调，采用多平面重建的薄层计算机断层扫描对于观察这些骨折至关重要，而磁共振成像则有助于评估软组织情况。
