创伤性下颈椎不稳的早期处理

The Early Management of Traumatic Lower Cervical Spine Instability

作者总结了94例下颈椎脱位或骨折脱位所致下颈椎不稳的早期处理的经验。随访83例,非手术组发生晚期颈椎不稳率为34.6％,而手术组仅为5.1％。手术组神经功能改善率高达82％,非手术组为46％。作者从生物力学角度讨论下颈椎不稳的诊断及治疗,强调及时正确地复位、减压、固定融合是治疗下颈椎骨折、脱位及防止创伤性下颈椎不稳的关键。

This paper reported the early treatment for traumatic lower cervical spine instability in 94 cases with dislo'ca-tion or fracture-dislocation of lower cervical spine. Among them 83 cases (88. 2%) were followed - up.the rate of lower cervical spine instability occured only 5. 1% in the operative group, 34. 6% in'the nonoperative group (p<0. 01) ;the rate of improved neurologic function account for 82% in the operative group, 42% in the nonoperative group (p<0. 01) . Diagnosis and therapy of the lower cervical spine instability were discussed on the basis of biomechamics. The author laid emphasis on the key that is to make use of the techniques of the decompression and fixation-fusion as soon as possible in the proper way.