无骨折脱位型颈髓损伤的临床研究

A clinical study on cervical spinal cord injury without radiographic abnormality

中文关键词:  颈椎,脊髓损伤,椎间盘突出

英文关键词:Cervical spine\ Spinal cord injury\ Intervertebral disc protrution,

中文摘要:

  目的：探讨颈椎在无骨折脱位情况下出现颈髓损伤的临床机制。方法：观察２４例无骨折脱位型颈髓损伤，重点分析其影像学检查特点。结果：２７％病例合并椎管狭窄，８３％的病例存在椎间盘突出，不同程度压迫脊髓。结论：无骨折脱位型颈脊髓损伤机制中，存在外伤致颈椎间盘损伤，突出的间盘向后压迫损伤颈髓。颈椎间盘损伤受力机制为屈曲→压缩→过伸。颈椎管狭窄、椎间盘退变等是此类脊髓损伤的病理解剖基础

英文摘要:

  Objective:To investigate the clinical mechanism of the cervical spinal cord injury without radiographic abnormality(CSCIWRA).Method:Twenty four patients with CSCIWRA were included and the radiology informations were analysed in the study.Result:27% pat