Progressive paralysis after bilateral facet dislocation of the cervical spine.
Progressive paralysis after bilateral facet dislocation of the cervical spine.
复制标题
颈椎双侧小关节脱位后进行性瘫痪。
DOI：
10.1302/0301-620x.74b2.1544956
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发表时间：
1992
影响因子：
--
通讯作者：
J. Silver
中科院分区：
文献类型：
--
作者：
Y. Mahale;J. Silver
我们报告了13例下颈椎双侧小关节脱位的患者，这些患者随后发展为严重的脊髓受累。与大多数脊柱损伤组相比，女性更多，患者年龄更大。最常见的原因是跌倒，大多数患者在受伤后6至48小时出现瘫痪。10名患者在后期复位后有所恢复，但3名患者仍然完全瘫痪。我们讨论了迟发性脊髓损伤的发病机制和延误诊断的原因。
We report 13 patients with missed bilateral facet dislocation of the lower cervical spine who subsequently developed severe spinal-cord involvement. There were more women and the patients were older than in most groups with spinal injury. The commonest cause was a fall, and paralysis appeared from six to 48 hours after injury in most patients. Ten patients made some recovery after late reduction but three remained totally paralysed. We discuss the pathogenesis of the late cord lesion and the reasons for delay in diagnosis.