[Clinical analyses of cervical fracture-dislocation without spinal cord injury].
OBJECTIVE
To investigate the etiology, pathological mechanism and treatment of cervical fracture-dislocation without spinal cord injury.


METHODS
Nine patients with cervical fracture-dislocation without spinal cord injury were male and aged 22 to 63 years. Based on the clinical symptoms and roentgenographic changes, the injury mechanism was analyzed; and the pathological characteristics and treatment principle were put forward.


RESULTS
Anterior reduction was employed in all 9 cases. Eight cases were reduced completely while 1 case was reduced partially. After following up 1 to 3 years, 7 cases recovered completely and the other 2 cases relieved their symptoms obviously. No nervous symptoms aggravated during the following-up period.


CONCLUSIONS
Fracture-dislocation of the cervical spine without spinal cord injury has special pathological mechanism. The surgical intervention is needed for solid fixation and complete decompression without any delayed neurosymptoms.
An
Chun-hou
CH
Department of Orthopedic Surgery, Second Affiliated Hospital of China Medical University, Shenyang, Liaoning, P. R. China 110003.
Fu
Yong-hui
YH
Yuan
Quan
Q
D000328:Adult; D002574:Cervical Vertebrae / Q000293:injuries*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011843:Radiculopathy / Q000517:prevention & control; D013119:Spinal Cord Injuries; D016103:Spinal Fractures / Q000175:diagnosis* / Q000601:surgery; D014143:Traction