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[Clinical analyses of cervical fracture-dislocation without spinal cord injury]
Chun-hou An1, Yong-hui Fu, Quan Yuan
1Department of Orthopedic Surgery, Second Affiliated Hospital of China Medical University, Shenyang, Liaoning, P. R. China 110003.
Objective:
To investigate the etiology, pathological mechanism and treatment of cervical fracture-dislocation without spinal cord injury.
Methods:
Nine patients with cervical fracture-dislocation without spinal cord injury were male and aged 22 to 63 years. Based on the clinical symptoms and roentgenographic changes, the injury mechanism was analyzed; and the pathological characteristics and treatment principle were put forward.
Results:
Anterior reduction was employed in all 9 cases. Eight cases were reduced completely while 1 case was reduced partially. After following up 1 to 3 years, 7 cases recovered completely and the other 2 cases relieved their symptoms obviously. No nervous symptoms aggravated during the following-up period.
Conclusion:
Fracture-dislocation of the cervical spine without spinal cord injury has special pathological mechanism. The surgical intervention is needed for solid fixation and complete decompression without any delayed neurosymptoms.