儿童齿状突骨折的研究进展
Research progress of odontoid fracture in children
刘少强 1黄清奇 1齐强2
作者信息
- 1. 厦门大学附属福州第二医院脊柱外科 350007
- 2. 北京大学第三医院骨科 100191
- 折叠
摘要
绝大多数儿童颈椎损伤发生在上颈椎,其中以齿状突骨折最为常见.儿童齿状突骨折是一种极为隐匿的损伤,由于年幼患儿语言表述不清,体检时欠配合,常导致该疾病被漏诊.由于儿童枢椎尚处于发育节段,包括4个软骨联合和6个骨化中心,因此儿童齿状突骨折和成人有明显的解剖学和生物学上的区别,治疗选择上也与成人不同.本文对儿童齿状突的发育过程和儿童齿状突骨折的损伤特点、临床分型和治疗方法选择等进行了综述.
Abstract
The majority of cervical spine injuries in children occur in the upper cervical spine, of which odontoid fracture is the most common. Odontoid fracture in children is a very insidious injury. Due to the unclear language and incompatible physical examination, the disease is often missed diagnosis. Because the child axis is still in the developmental segment, including 4 synchondrosis and 6 ossification centers, there are obvious anatomical and biological differences between the child odontoid fracture and the adult. Therefore, the choice of treatment is different from that of adults. This article will introduce the development of odontoid in children, and summarize the injury characteristics, clinical classification and treatment of odontoid fracture in children.
关键词
颈椎/骨折/儿童Key words
Cervical spine/Fracture/Child引用本文复制引用
基金项目
福建省自然科学基金(2018J01362)
出版年
2019
NETL
NSTL
维普
万方数据