两例高位颈椎损伤病例报告：及时的手术治疗带来了良好的功能效果。

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-05-11 DOI:10.24875/CIRU.21000719

Antonio Sosa-Nájera, Abrahan A Tafur-Grandett, Alejandro Ceja-Espinosa, Raúl Huato-Reyes, Jórge Ortega-Espino

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引用次数: 0

摘要

简介舌骨骨折占颈椎骨折的 9-15%。寰椎骨折很少见（3-13%）8：男性：Anderson和D'Alonzo II型寰枢椎不稳定骨折，采用枕骨钢板枕颈固定、C2-C3转位螺钉治疗；女性：E型Jefferson骨折+前外侧寰枢椎脱位，采用枕骨钢板枕颈固定、C2-C3-C4转位螺钉治疗：Anderson和D'Alonzo II型骨折和Jefferson E型骨折是一种因不稳定和神经功能缺损而导致的外科急症。

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Report of two cases of high cervical injury: an adequate functional result with timely surgical management.

Introduction: Odontoid fractures correspond to 9-15% of cervical spine fractures. Atlas fracture is rare (3-13%)⁸.

Case presentation: Male with Anderson and D´Alonzo Type II Odontoid fracture with unstable fragment treated with occipitocervical fixation with occipital plate, C2-C3 transfacet screws; Female with type E Jefferson fracture + anterolateral atloaxial dislocation, treated with occipitocervical fixation, C2-C3-C4 transfacet screws.

Discussion: Anderson and D'Alonzo Type II fractures and Jefferson type E fractures are a surgical emergency due to instability and neurological deficit.

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.