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颈椎过伸性损伤的发病机制及外科治疗进展
梅子健,潘伟成,郭永飞*,史建刚
0
(海军军医大学(第二军医大学)长征医院骨科, 上海 200003
*通信作者)
摘要:
颈椎过伸性损伤是指颈椎在颅面部水平方向为主的暴力作用下使得颈椎过度仰伸所致颈椎及其支持结构和脊髓的损伤,是颈椎损伤的一种常见类型。颈椎过伸性损伤多见于伴有椎管狭窄的老年人群,临床上较少出现严重的骨折脱位,主要表现为颈脊髓中央管综合征等不完全性脊髓损伤。本文就颈椎过伸性损伤的损伤机制及其外科治疗的研究进展进行综述。
关键词:  颈椎  过伸性损伤  机制  治疗
DOI:10.16781/j.0258-879x.2021.12.1408
投稿时间:2020-09-25
基金项目:国家自然科学基金(81900809),上海市卫生健康委员会卫生行业临床研究专项(20194Y0232),上海市卫生系统优秀人才培养计划(2018YQ26)
Pathogenesis and surgical treatment of cervical hyperextension injury: recent progress
MEI Zi-jian,PAN Wei-cheng,GUO Yong-fei*,SHI Jian-gang
(Department of Orthopaedics, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author)
Abstract:
Cervical hyperextension injury refers to the injury of the cervical vertebra, its supporting structure and spinal cord caused by excessive extension of the cervical vertebra under the violent action of craniofacial horizontal force, and it is a common type of cervical vertebra injury. Cervical hyperextension injury is more common in the elderly with spinal stenosis, and there are few serious clinical fracture and dislocation, mainly manifested as incomplete spinal cord injury such as central cord syndrome. This article reviews the research progress of injury mechanism and surgical treatment of cervical hyperextension injury.
Key words:  cervical vertebrae  hyperextension injury  mechanism  treatment