儿童颈椎外伤性无骨折脱位脊髓损伤——附22例报告

Cervical Spinal Cord Injury Without Radiographic Abnormalities in Children-22 Case Report

目的 :探讨儿童颈椎外伤性无骨折脱位与脊髓损伤的相关性。方法 :2 2例儿童颈椎外伤性脊髓损伤患者 ,均经X线前屈、后伸摄片 ,6例行断层摄片、16例行CT检查、8例行MRI检查。结果 :2 2例脊髓损伤患者 ,均未见骨折脱位影像学变化、均经急救处置。结论 :儿童颈椎弹力性大 ,椎体之间不稳 ,易产生一过性脱位 ,并可造成椎管相对变窄 ,导致脊髓损伤。建议临床体征。

OBJECTIVE:To elucidate the correlation between cervical spinal cord injury and radiographi abnormalities in children. METHODS:flexion extension lateral views were performed in all 22 patients with spinal cord injury in children, tomography was a vailable from 6 patients, CT scan, 16 patients, MRI 8 patients. RESULTS:22 patients with spinal cord injury were without radiographic abnormalities. CONCLUSION:Cervical spine in children is a very flexible, instability between the cervical spines, may associate with momentary dislocation easy and spinal canal stenosis, and made spinal cord injury. Author suggest that clinical condition、 CT scan and MRI is of great importance to diagnose of cervical spinal cord injury in children.