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颈椎骨折类型与脊髓损伤关系之临床观察 被引量:2

Clinical observations on the relationship between classification or cervical fractures and spinal cord injury
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摘要 通过对92例颈椎骨折病例的分析,发现屈曲型损伤最多见(53%),其次为过伸型(26%),压缩型(21%)。屈曲型和压缩型多见于年轻人,而屈曲损伤导致的脱位及过伸型则多见于年龄较大者。爆裂骨折引起的神经损害最重,其次为屈曲型、过伸型及压缩(非爆裂)骨折。神经功能改善率以爆裂型骨折最差,死亡率亦最高,以压缩(非爆裂型)骨折最好,其次为过伸型及屈曲型。文内对各型的特点进行了详细讨论。 cases of cervical spinal injury were analysed. It was found that flexion mechanism(53%)was the commonest cause, than was hyperextension(26%) and compression(21%) mechanism. Compression and flexion fractures occur most often in young people. Dislocation with flexion fractures and injury caused by hyperextension occur most often in elder. Serious neurological lesions usually occur with crushing of a vertebral body and rarely by compression(non-crush) mechanism. The poorest improvement was found in patients with crushing fracture and high mortality. The best results were observed in the group of typical compression(non-crush) fracture. Author' address: (Wuhan General Hospital, Guang Zhou Unit of PLA, Wuhan,Hubei, 430070)
出处 《中国脊柱脊髓杂志》 CSCD 1995年第3期111-114,共4页 Chinese Journal of Spine and Spinal Cord
关键词 颈椎骨折 骨折 类型 脊髓损伤 临床分析 Cervical vertebra Fracture Type Spinal cord Lesion
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