无骨折脱位型颈髓损伤(附17例报告)  

Cervical Spinal Cord Injuries without Fracture and Dislocation-(Report of 17 cases)

作　　者：彭明[1] 李维林[1] 张东生[1] 杨彬[1] 

机构地区：[1]青岛市市立医院,266011

出　　处：《骨与关节损伤杂志》1998年第2期69-70,共2页The Journal of Bone and Joint Injury

摘　　要：17例无骨折脱位型颈髓损伤患者均为颈椎过伸性损伤,X线片示颈椎无骨折、脱位。受伤前患有颈椎病6例;强直性脊柱炎2例。17例中12例行脊髓造影、CT检查,4例椎间盘退变,3例后纵韧带骨化,1例椎体后缘骨刺,3例存在发育性椎管狭窄,2例MRI检查可见脊髓病理改变。发现伤前存在发育性或退行性颈椎管狭窄者,虽受伤外力轻,但脊髓损伤重、脊髓功能也恢复差。Seventeen patients with none - fracture - dislocation cervical cord injuries all suffered from cervical spinal injuries of hyperextension, whose X - ray photo demonstrated no fracture and dislocation. Myelography and CT examination were performed in 12 cases out of the 17 patients, 4 degeneration of intervertebral disc, 3 of ossification of posterior longitudinal ligament, 1 spur on posterior of vertebrae and 3 developmental spinal canal stenosis. MRI examination showed 2 cases of pathologic change in cervical cord. It showed that light force might result in serious cervical injuries and bad prognosis on functional recovery in the patients with developmental or degenerational spinal canal stenosis.

关 键 词：无骨折脱位 颈脊髓损伤 X线诊断 治疗 

分 类 号：R651.2[医药卫生—外科学]