外伤性颈椎间盘突出压迫为主因的无骨折脱位脊髓损伤  

Cervical Cord Injury without Radiographic Abnormalities with Main Cause of Traumatic Cervical Hemiated Disk Compression

作　　者：毛宾尧[1] 应忠追[1] 范大来[1] 胡裕桐[1] 

机构地区：[1]宁波市第一医院宁波市骨科研究所,315010

出　　处：《中国矫形外科杂志》2000年第12期1149-1151,F004,共4页Orthopedic Journal of China

摘　　要：目的 :为探讨无骨折脱位颈脊髓损伤的致伤机理和原因。方法 :5 1例这类损伤的MRI显示外伤性颈椎间盘突出为主 ,和 /或同一节段黄韧带、棘间和棘上韧带等软组织损伤 ,压迫脊髓。采取摘除突出椎间盘 ,或 /和清除椎管后方致压物 ,扩大椎管。结果 :术后 5 1例病人都有不同程度的康复。结论 :比较了文献资料 。Objective: To study the causes of the cervical spinal cord injury without radiographic abnormaties.Methods:51 cases with traumatic cervical spinal cord injury without radiographic abnormatics were reported.All the patients with traumatic cervical herniated disc compressed spinal cord and flavum ligament,interspinal ligament and supraspinal ligament injury in same level segmant were showed on MRI.The cervical spinal cord lesion presented on the compressed and crushed by the cervical herniated disk and the flavum ligament.Anterior decompression,enlarging the stenosis canal of cervical were performed.The clinical material of variat serias in recent years were compared with the series.The injury mechanism were analyzed.Results:Post-operative 51 patients had differeut degree of recovery.Conclusion:Transient contusion and compression of cerival spinal cord by the herniated cervical disk.is the main cause of injury.

关 键 词：颈脊髓损伤 椎间盘 MRI 诊断 治疗 

分 类 号：R681.53[医药卫生—骨科学]