外伤性颈椎面骨骨折和脱位。

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI:10.1097/BSD.0000000000001706

Jesse Wang, Abhishek Kumar, Adam L Shimer, Brian W Su

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引用次数: 0

摘要

颈椎面骨损伤虽然比其他脊柱损伤少见，但它是颈椎轴下损伤的一个分支，在诊断、管理和治疗效果方面都会面临巨大挑战。颈椎切面骨折的一个主要问题是识别可能需要手术稳定的不稳定模式。特别是在颈椎面骨折脱位的病例中，关于闭合复位的要求、时机、手术方法、术前磁共振成像的必要性以及固定方法仍存在争议。这篇综述文章旨在让读者全面了解颈椎面骨骨折的病因、临床表现、诊断技术、治疗方案和预后因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Traumatic Cervical Facet Fractures and Dislocations.

Cervical facet injuries, though less common than other spinal injuries, represent a subset of subaxial cervical spine injuries and can present significant challenges in terms of diagnosis, management, and outcomes. A major concern with cervical facet fracture is identifying instability patterns that may necessitate surgical stabilization. Particularly in cases of cervical facet fracture dislocations, there remains controversy regarding requirements for closed reduction, timing, surgical approach, need for preoperative MRI, and method of fixation. This review article aims to provide a thorough understanding of the etiology, clinical presentation, diagnostic techniques, treatment options, and prognostic factors associated with cervical facet fractures.

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.