| 无颈椎骨折脱位的急性颈髓损伤 |
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Received:August 26, 2002 Revised:November 18, 2002
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| 期刊信息：《中国骨伤》2003年16卷，第9期，第525-526页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨无颈椎骨折脱位的急性颈髓损伤的特征和机制。
方法:对33例无颈椎骨折脱位的急性颈髓损伤病例进行回顾性研究,分析其神经学、X线和MRI检查结果 。
结果: 颈髓完全性损伤者8例,不完全性损伤者25例;21例患者有颈椎变性改变(椎间盘间隙狭窄伴有骨赘形成者15例,后纵韧带骨化者6例),3例C5颈椎管Pavlov率小于0.8;30例可见颈髓受压,25例表现为椎旁软组织损伤。
结论:无颈椎骨折脱位的急性颈髓损伤的重要诱因为颈椎变性改变和发育性颈椎管狭窄,致病原因主要为颈髓受压;MRI检查有利于查明脊髓损伤的部位和机制。 |
| [关键词]:脊髓损伤 回顾性研究 颈椎 |
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| Acute injury of the cervical spinal cord without fracture and dislocation |
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Abstract:
Objective:To investigate the characteristics of acute injury of the cervical spinal cord without fracture and dislocation
Methods:Retrospective study of 33 cases with acute injury of the cervical spinal cord without fracture and dislocation for the analysis of the neurology,X-ray and MRI.
Results:8 cases were complete spinal injury and 25 cases partial injury. 21 cases have vertebral degeneration(15 cases with spinal canal stenosis accompanied with osteophyte,6 cases with the ossification of the posterior longitudinal ligament).C5 spinal canal Pavlov rate was smaller than 0.8 in 3 cases,and the spinal cord was compressed in 30 cases. 25 cases appeared as soft tissue injury around spinal.
Conclusion:The most important inducement for acute injury of the cervical spinal cord without fracture and dislocation is degeneration of the cervical vertebrae and vertebral stenosis. The compression of the spinal cord is the main etiology. MRI is benefit for the detection of the position and mechanism of the spinal cord injury. |
| KEYWORDS:Spinal cord injuries Retrospective studies Cervical vertebrae |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈伟,王金成,高中礼,朱庆三.无颈椎骨折脱位的急性颈髓损伤[J].中国骨伤,2003,16(9):525~526 |
| 英文格式: | CHEN Wei,WANG Jincheng,GAO Zhongli.Acute injury of the cervical spinal cord without fracture and dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(9):525~526 |
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