Operative treatment for cervical fracture and dislocation with blunt unilateral vertebral artery injury / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 279-283, 2010.
Artigo
em Inglês
| WPRIM
| ID: wpr-272903
ABSTRACT
<p><b>OBJECTIVE</b>To investigate risks and clinical effects of operative treatment for cervical vertebral fracture and dislocation associated with unilateral vertebral artery injury.</p><p><b>METHODS</b>This group consisted of 76 cases of closed cervical spine trauma combined with unilateral vertebral artery injury (23 cases of bilateral facet dislocation, 28 unilateral facet dislocation and 25 fracture). All patients underwent prospective examination of cervical spine MRI and vertebral artery two-dimensional time-of-flight (2D TOF) magnetic resonance angiography (MRA), and anterior cervical decompression. The healthy vertebral artery paths were evaluated before the surgery, and were protected during the surgery according to the anatomical signs.</p><p><b>RESULTS</b>There were no acute or chronic clinical damage symptoms in 76 cases after surgery. No neural damage symptoms were observed in patients with normal neural functions. The neural functions of incomplete paralyzed patients were improved in different grades.</p><p><b>CONCLUSIONS</b>Reliable anterior operation can produce good results for cervical fracture and dislocation with unilateral vertebral artery injury. Detecting the course of uninjured vertebral artery before operation and locating the anatomical site during operation are effective to avoid damaging vertebral artery of uninjured side.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Artéria Vertebral
/
Ferimentos e Lesões
/
Ferimentos não Penetrantes
/
Imageamento por Ressonância Magnética
/
Vértebras Cervicais
/
Fraturas da Coluna Vertebral
/
Luxações Articulares
Limite:
Adolescente
/
Adulto
/
Idoso
/
Aged80
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2010
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS