青少年下颈椎不稳的诊断及治疗  

Diagnosis and treatment of adolescent instability of lower cervical spine

作　　者：马兆龙 杨文贵 钟竟林 孙文健 何晓峰 朱丽华[2] 许立[3] 

机构地区：[1]上海梅山医院骨科,南京210039 [2]南京鼓楼医院脊柱外科,南京210008 [3]苏州大学附属一院骨科,苏州215006

出　　处：《中国矫形外科杂志》2006年第17期1281-1283,共3页Orthopedic Journal of China

摘　　要：[目的]探讨青少年下颈椎不稳的可能的病因及发病机理、诊断标准及临床特点、治疗方法的选择。[方法]对2例典型病例的诊断、治疗方法选择及随访资料进行分析,结合现有文献进行研究。[结果]2例患者经治疗症状消失,X线片示手术节段获骨性融合,按Henderson评价标准均为优,分别随访3 a、4 a无异常并发症。[结论]退行性变可能是青少年下颈椎不稳的病因之一,其发病机理、诊断标准及治疗方法选择同成人相似,但须注意其发病机理及病理过程、临床表现均有自身特点,治疗方法选择要考虑生长潜能等诸多因素。[ Objective ] To investigate the possible etiological factors, pathogenesis, diagnostic criteria, clinic characteristics and the choice of treatment of the adolescent instability of lower cervical spine. [ Method ] The diagnosis, therapies and follow-up materials of the two typical cases were analyzed and researched with the available literatures. [ Result] The two cases showed dissappearance of syndroms. The Roentgen film showed that the operative segments have gotten bone-fuse. Results were excellent according to Henderson-evaluation classification without any complications at 3 and 4 years follow-up. [ Conclusion ] The degeneration is probable one of the etiological factors causing adolescent instability of lower cervical spine. It is resemble on the pathogenesis, diagnostic criteria and the choice of treatment between the adolescent and the adult. But the each characteristic on the pathogenesis, pathologic process, clinical situation should be remarked. The growth potentiality and other correlated factors should be paid attention to for the choice of treatment.

关 键 词：青少年 下颈椎不稳 退行性变 生长潜能 

分 类 号：R681.5[医药卫生—骨科学]