老年颈椎损伤的特点及治疗

被引:5
作者
叶晓健
贾连顺
袁文
倪斌
陈德玉
戴力扬
李家顺
不详
机构
[1] 第二军医大学长征医院骨科!上海
关键词
老年; 颈椎; 脊髓损伤; 损伤和创伤;
D O I
暂无
中图分类号
R683.2 [脊椎骨折];
学科分类号
1002 ; 100210 ;
摘要
目的 :评价老年人颈椎损伤的特点与治疗方法。方法 :对 31例老年颈椎损伤进行回顾性分析。结果 :本组老年颈椎损伤发生率 5 .47% ,其原因多为跌落伤 ,损伤类型以颈椎过伸性损伤和中央脊髓损伤综合征为常见。 77.42 %的患者伴有脊髓损伤 ,病死率为 9.6 7% ,保守治疗的骨折不愈合率为 18.5 7% ,2 1.43 %的患者神经功能无改善 ,手术治疗后仍有 14 .2 8%患者神经功能无明显改善。结论 :老年颈椎损伤死亡率及骨折不愈合率较高 ,手术治疗应在伤后早期进行
引用
收藏
页码:24 / 25
页数:2
相关论文
共 8 条
[1]  
Cervical spine injurises and management: experience with 235 patients in 10 years. Daneyemez M,Kahraman S,Gezen F,et al. Minimally Invasive Neurosurgery . 1999
[2]  
Cervical spine fracture in the elderly. Well SJ,Malek AM,Rossitch E Jr. Surgical Neurology . 1997
[3]  
A case control study for major trauma in geriatric patients. Finelli FC,Jonsson J,Champion HR,et al. The Journal of Trauma . 1989
[4]  
The epidemiology of fractures and fracture-dislocations of the cervical spine. Ryan MD,Henderson JJ. Injury . 1992
[5]  
ED use of flexionextension cervical spine radiography in the evaluation of blunt trauma. Brady WJ,Monghtader J,Cutcher D,et al. American Journal of Emergency Medicine . 1999
[6]  
Odontoid fractures in elderly patients. Hanigan WC,Powell FC,Elwood PW,et al. Journal of Neurosurgery . 1993
[7]  
Association of head trauma with cervical spine injury, spinal cord injury, or both. Iida H,Tachibana S,Kitahara T,et al. The Journal of Trauma . 1999
[8]  
Current use and timing of spinal surgery for management of axute spinal surgery for management of axute spinal cord injury in North America: results of a retrospective multicenter study. Tator CH,Fehkings MG,Thorpe K,et al. Journal of Neurosurgery . 1999