儿童上颈椎骨损伤

Upper Cervical Bony Injury in Children

笔者报告17例儿童上颈椎骨损伤,其中环椎椎弓骨折6例,齿状突基底部骨折11例。新鲜齿状突骨折3例和环椎后弓骨折1例采用枕颌带牵引;陈旧性齿状突骨折2例采用头颈胸石膏固定,平均随访2.5年,X线片证实均获骨性愈合。其余11例行手术治疗,平均随访26个月,X线检查全部获深骨性融合。就临床表现和治疗进行了讨论。

Seventeen cases of upper cervical bony injury in children were reported. Their ages from 6 to 14 years old, average 12. Bony injury include 6 cases altas vertebral arches (one of them accompanied with odontoid process frac ture) and 11 cases odontoid process fracture. Of 4 cases fresh injury and 13 cases nonfresh fracture, there were injuries and compressure of the spinal cord and nerve roots in 10 cases. Conservative treatment and operation were chosen according to the characters of injury and nerve pressure. The author analyzed the clinical manifestation and treatment of the upper cervical bony injury in children.