| 急性下颈椎交锁型和水平脱位并脊髓损伤 |
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Received:March 21, 1997 Revised:October 20, 1997
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| 期刊信息：《中国骨伤》1999年12卷，第4期，第5-7页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨急性颈椎交锁和水平脱位并脊髓损伤的治疗方法。
方法：采用徒手复位和牵引相结合的方法治疗急性下颈椎交锁脱位、水平脱位伴骨折，并有不同程度脊髓和神经根受压损伤15例病人。
结果：本组治疗13例得到6～18月的随访，平均11月。有12例脊柱稳定，无继发性滑脱，无显性脊柱退变和迟发脊髓损伤。脊髓和神经根恢复分优者4例、良者6例、可者2例、差者1例；优良率达80%.
结论：急性下颈椎交锁及水平脱位，临床可以通过徒手复位和牵引相结合的方法，达到理想复位。结合脱水剂、微血管扩张剂、糖皮质激素和神经介质等药物应用，促进脊髓神经组织恢复。 |
| [关键词]:颈椎 交锁脱位 水平脱位 |
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| Acute Interlocking and Horizontal Dislocations of Lower Cervical Spine Complicated with Spinal Cord Injury |
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Abstract:
Objective: To study the Methods for treating acute interlocking dislocation and horizontal dislocation of lower cervical spine complicated with spinal cord injury.
Methods: The combination of manipulative reduction and traction was applied for treating 15 cases of acute lower cervical spine dislocations complicated with compressive injury of spinal cord and nerve roots in different extent.
Results:13 cases were followed up for 6 to 8 months.Among them,there were 12 cases with stable spine,and without seconary spondylolisthesis,prominent degeneration and delayed spinal cord injury.As to the recovery of spinal cord and nerves,there were 4 cases in excellent grade,6 good,2 passable and 1 bad.The excellent and good rate was 80%.
Conclusion: The ideal recovery of acute interlocking dislocation and horizontal dislocation of lower cervical spine can be achieved with the combination of manipulative reduction and traction.The combined application of osmotic diuretic,glucocorticoid,vasodilator, and neurotransmitter can promote the recovery of nervous tissue in spinal cord. |
| KEYWORDS:Cervical spine Interlocking dislocation Horizontal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴丙虎,周骏武,田永庆,刘宁.急性下颈椎交锁型和水平脱位并脊髓损伤[J].中国骨伤,1999,12(4):5~7 |
| 英文格式: | Wu Binghu,Zhou Junwu,Tian Yongqing.Acute Interlocking and Horizontal Dislocations of Lower Cervical Spine Complicated with Spinal Cord Injury[J].zhongguo gu shang / China J Orthop Trauma ,1999,12(4):5~7 |
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