하부 경추골절-탈구의 치료에 대한 임상적 고찰 = Clinical Study on the Unilateral Facet Dislocation and Fracture-Dislocation of the Lower Cervical Spine

국문 초록 (Abstract)

외상에 의한 경추부 손상은 심한 후유증 및 사망까지도 초래하는 가상 흔한 원인의 하나이다. 이에 1981년부터 1991년까지 인제대학교 부속 부산백병원 정형외과 학교실에서 치료한 하부 경추 골절 탈구 환자 47명을 대상으로 분석하여 문헌고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

Acute injuries of the cervical spine are the most common causes of severe diability and death following trauma, yet the diagnosis is often delayed and treatment, inadequate.
Especially, injuries of the lower cervical spine are complex and potentially devastating. The goals of treatment of fracture-dislocations are to provide stability and to prevent future injury to the spinal cord and nerve roots. The authors treated 46 patients with unilateral facet dislocation or fracture-dislocation of the lower cervical spine at Inje University Pusan Paik hopsital between 1981 and 1971, and the results were as follows ;
1.Of these 46 patients, 32 patients were treated by open reduction and fusion, and 14 by nonoperative management.
2.The frequent level of the injury was between C5-6(43% ).
3.Flexion-rotation was the most common mechanism and has more severe neurologic damage.
4.Anatomical reduction was achieved more frequently in the operative group(84% compared with 43%). Nonoperative treatment was more likely to result in significant symptoms and instability on flexion/extension lateral radiographs.
5.Open reduction and rigid internal fixation of unilateral facet dislocation or fracture-dislocation gave better result.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.대상 및 방법
• 1.연령 및 성별분포
• 2.손상원인
• 3.손상부위
• 4.손상기전 및 신경손상
• 5.동반손상
• 6.치료방법
• Ⅲ.결과
• 1.신경손상의 회복
• 2.임상적 평가
• 3.방사선학적 평가
• 4.합병증
• 5.침상안정
• Ⅳ.증례
• Ⅴ.고찰
• Ⅵ.결론