Evans D K
J Bone Joint Surg Br. 1976 Aug;58(3):318-21. doi: 10.1302/0301-620X.58B3.956248.
Anterior subluxation of the cervical spine from flexion-rotational violence is often overlooked. Either radiography is omitted or the slight displacement visible on the films is not recognised. A method for recognising these injuries is suggested. Five cases are described showing that in these subluxations the soft-tissue damage is severe, that late increasing displacement can occur, with varying neurological sequelae, and that instability can persist indefinitely. Four of the patients required stabilisation by operation, in contrast with complete dislocations in which 80 to 90 per cent fuse spontaneously.
颈椎因屈曲旋转暴力导致的前半脱位常常被忽视。要么省略了X线检查，要么没有识别出X线片上可见的轻微移位。本文提出了一种识别这些损伤的方法。文中描述了5例病例，显示在这些半脱位中软组织损伤严重，后期可能出现移位增加，伴有不同的神经后遗症，且不稳定可能长期存在。与完全脱位不同，完全脱位80%至90%可自发融合，而这4例患者需要手术稳定治疗。
