摘要
本文报道13例颈椎过伸性损伤引起脊髓中央症群的发病机理、类型、临床特点和治疗方法.有些患者的X线表现与屈曲型损伤类似,应予以鉴别.治疗时不宜手术减压,用脱水疗法可取得满意效果.
Among 52 cases of cervical spine injury admitted from 1973 to 1977,13 werehyperextension injuries complicated with central spinal cord syndrome.The clinicalcharacteristics of the syndrome were:paralysis of upper limbs being more severe thanthat of the lower limbs,the sensation of warmth and pain being lost but tactile sen-sation partly preserved.In our series,the levels of paralysis and vertebral injury weresame in 10 cases and different in 2.Another 2 eases had concurrent thoracic or lumbarvertebral injury of the flexion type.Traction reduction with neck in slight flexion wasused,provided there was no fracture of the spinous process or vertebral arch.The patientswere treated conservatively as long as there was continual recovery from the paralysis,then followed by spinal fusion without laminectomy.Dehydrating agents such as sor-bitol and mannitol and dexamethasone were also administered to reduce edema aroundthe central canal of the cord.Most of the patients(11/13)had satisfactory recovery.
出处
《上海医学》
CAS
1981年第1期31-33,62,64,共5页
Shanghai Medical Journal
