[一名女性老年患者的创伤性寰枢椎后脱位,但无上颈椎骨折:病例报告和文献检索]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2024-07-01 Epub Date: 2024-05-30 DOI:10.1007/s00113-024-01445-x
Johannes Wunder, Christoph Schirdewahn, Christian von Rüden
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引用次数: 0

摘要

未发现上颈椎骨折的外伤性寰枢椎后脱位(PAAD)是一种非常罕见的损伤,通常发生在年轻患者身上,大多数情况下会因脊髓牵拉而立即死亡。而本病例描述的是一名 75 岁女性老年患者的这种损伤。文献中也有一些临床病例报告,在这些病例中,无骨折的外伤性 PAAD 并未导致神经功能缺损,而最初存在的神经功能缺损通过闭合性或开放性复位和内固定可完全恢复。
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[Traumatic posterior atlantoaxial dislocation without fracture of the upper cervical spine in a female geriatric patient : Case report and literature search].

Traumatic posterior atlantoaxial dislocation (PAAD) without detection of a fracture of the upper cervical spine is a very rare injury that usually occurs in younger patients and in most cases leads to immediate death due to distraction of the spinal cord. In contrast, the present case describes this injury in a female geriatric patient at the age of 75 years. In the literature there are also clinical case reports, where traumatic PAAD without a fracture did not result in neurological deficits and where initially existing neurological deficits were completely reversible through closed or open reduction and internal fixation.

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