A MECHANISTIC CLASSIFICATION OF CLOSED, INDIRECT FRACTURES AND DISLOCATIONS OF THE LOWER CERVICAL-SPINE

A MECHANISTIC CLASSIFICATION OF CLOSED, INDIRECT FRACTURES AND DISLOCATIONS OF THE LOWER CERVICAL-SPINE
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DOI:
10.1097/00007632-198200710-00001
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发表时间:
1982-01-01
期刊:
影响因子:
3
通讯作者:
OBRIEN, RP
OBRIEN, RP
中科院分区:
医学2区
文献类型:
--
作者:
ALLEN, BL;FERGUSON, RL;OBRIEN, RP

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下颈椎的闭合性、间接性骨折和脱位发生在颈椎运动节段有一系列解剖损伤的家族或群体中。对165例[人类]病例的研究证明了各种各样的损伤谱,称为损伤谱,并根据损伤机制制定了一种分类。常见组为压缩屈曲、垂直压缩、牵张屈曲、压缩伸展、牵张伸展和侧屈。颈椎损伤的类型和严重程度与相关神经系统损害的可能性直接相关。根据颈椎损伤的分类,可以制定合理的颈椎损伤治疗方案。
Closed, indirect fractures and dislocations of the lower cervical spine occur in families or groups within which there is a spectrum of anatomic damage to a cervical motion segment. Study of 165 [human] cases demonstrated the various spectra of injury, called phylogenies, and developed a classification based on the mechanism of injury. The common groups were compressive flexion, vertical compression, distractive flexion, compressive extension, distractive extension and lateral flexion. The probability of an associated neurologic lesion related directly to the type and severity of cervical spine injury. With use of the classification, it is possible to formulate a rational treatment plan for injuries to the cervical spine.