外傷性分離・すべりを伴う頚椎・頚髄損傷の治療経験

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概要

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• A retrospective clinical and radiographical study of 8 traumatic spondylolysis/spondylolisthesis cases was performed. The patients were classified into two types: fracture-dislocation (F-D) type and flexion-tear-drop (F-T-D) type. Four patients were classified as F-D, and 4 as F-T-D type. Lack of correction occurred in 4 cases. Two F-D type cases were treated with posterior spinal fusion. One F-T-D type case was treated with posterior spinal fusion, and another F-T-D type case was treated with anterior spinal fusion, in which most of the caudal fused vertebrae had bilateral pedicle fractures. The F-D type was caused by compressive-extension injury (stage 4) and F-T-D type by high energy compressive-flexion injury.<BR>For these patients, anterior spinal fusion with corepolectomy of the pedicle fracture vertebrae is recommended.

• 西日本整形・災害外科学会の論文

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