颈椎过伸性损伤53例临床分析

Clinical analysis of cervical hyperextension injury in 53 cases

目的：评价颈椎过伸性损伤不同诊断方法的价值，并探讨其手术治疗方法。方法：回顾５３例颈椎过伸性损伤的临床资料，分析其病史、临床表现、Ｘ线片、ＭＲＩ等诊断依据，总结各治疗方法的效果。结果：依据Ｘ线片确诊３４例（６４．１５％）；所有病例ＭＲＩ均显示有不同的病理改变，以前纵韧带撕裂、部分或全部的椎间盘水平撕裂、椎间盘突出、脊髓压迫及水肿为突出特点；尚发现７例椎动脉阻塞。手术治疗的效果优于保守治疗。结论：ＭＲＩ在损伤的检出、损伤机制的描述以及损伤程度的判断上均优于其他检查方法，业已成为首选检查方法；

Objective: To evaluate different means in the diagnosis of cervical hyperextension injury with surgical treatment consideration. Methods: Fifty three cases of cervical hyperextension injury were retrospectively analysed, and their injury history, clinical manifestation, X ray films, MRI and treatment were studied. Results: Thirty four cases were detected by means of X ray films, accounting for 64.15%; the main pathological changes of MRI were rupture of anterior longitudinal ligament, partial or total horizontal tear of disc, disc herniation, compression and edema of spinal cord. All cases were detected with variable MRI abnormal changes, 7 cases of vertebral artery occlusion were found. The result of surgical treatment was superior to conservative treatment. Conclusion: MRI is superior to other diagnosis methods on injury detection, description of injury mechanism and injury severity, and it has already become the most valuable choice for diagnosis. The consideration of operation indication and surgical approach should be based on decompression and stability.