[颈椎损伤]。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI:10.1055/a-2190-3115
Max J Scheyerer, Sebastian F Bigdon, Robert Gaudin, Erol Gercek, Christian Walter Müller, Georg Osterhoff, Matthias Pumberger, Yu-Mi Ryang, Christoph Scholz, Friederike Schömig, Ulrich Josef Albert Spiegl, Nima Taheri, Klaus John Schnake
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引用次数: 0

摘要

大约三分之一的颈椎损伤发生在上颈椎,即枕骨和第二颈椎之间的区域。后者是最常见的受伤部位,约占 70%。此外,寰椎骨折、枕骨髁骨折、外伤性 C2 椎体滑脱、椎体部位非典型骨折以及寰枕韧带和寰轴韧带损伤也与该部位的损伤有关。在许多情况下,保守疗法是可行的。但对于不稳定或移位的损伤,则需要进行手术干预,并采用各种手术方法。本继续医学教育文章将详细介绍各种损伤的频率、诊断、分类和标准疗法。
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[Cervical Spine Injuries].

Around a third of all cervical spine injuries occur in the upper cervical spine in the area between the occiput and the second cervical vertebra. The latter being the most common location of the injury with around 70%. But also atlas fractures, occipital condyle fractures, traumatic spondylolisthesis of C2, atypical fractures in the corpus area as well as atlantooccipital and atlantoaxial ligamentous lesions should be mentioned in connection with injuries in this area. In many cases, conservative therapy regimen is possible. In unstable or displaced injuries, however, surgical intervention is required, with various surgical procedures being used. The frequency, diagnostics, classification, and standard therapy of the individual entities are presented in detail in this continuing medical education article.

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