Cerebellar infarction after posterior direct reduction and fixation to treat an unstable Jefferson fracture: a case report

Seung Hwan Baek; Seung Ho Yoo; Kyoung Rai Cho; Jun Jae Shin

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Cerebellar infarction after posterior direct reduction and fixation to treat an unstable Jefferson fracture: a case report

机译：小脑梗塞后直接减少和固定治疗不稳定的杰斐逊骨折：案例报告

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Abstract A 42-year-old man had an unstable Jefferson type IV atlas fracture with unilateral vertebral artery occlusion after a diving accident. We performed C1-ring reconstruction with a crosslink rod and C2 fixation to directly reduce the fracture fissure. Within 6?h, cerebellar hemisphere infarction developed. After decompressive craniectomy, duroplasty, and release of the vertebral artery occlusion caused by the transfixing rod, a postoperative computed tomography angiogram showed that blood flow in the right vertebral artery improved. We suggest cautiously inserting screws into the fractured C1 lateral mass and gently tightening the crosslink rod to prevent distal migration of a thrombus.

机译：摘要一名42岁的男子有一个不稳定的杰斐逊IV型阿特拉斯骨折，在潜水事故发生后的单侧椎动脉闭塞。我们用交联杆和C2固定进行了C1环重建，直接减少裂缝裂缝。在6？h内，小脑半球梗死发达。经过减压颅底切除术后，多骨术和脊柱闭塞的椎动脉闭塞，术后计算断层造影血管造影显示右椎动脉的血流改善。我们建议小心地将螺钉插入破裂的C1横向质量并轻轻拧紧交联杆以防止血栓的远端迁移。

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来源
《Acta Neurochirurgica》 |2018年第3期|共7页
作者
Seung Hwan Baek; Seung Ho Yoo; Kyoung Rai Cho; Jun Jae Shin;
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作者单位

Department of Neurosurgery Sanggye Paik Hospital Inje University College of Medicine;

Department of Neurosurgery Sanggye Paik Hospital Inje University College of Medicine;

Department of Otorhinolaryngology Sanggye Paik Hospital Inje University College of Medicine;

Department of Neurosurgery Sanggye Paik Hospital Inje University College of Medicine;

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正文语种 eng
中图分类头部及神经外科学;
关键词
Cervical trauma; Jefferson fracture; Atlas fracture; Vertebral artery compression; Cerebellar infarction;

机译：颈椎创伤;杰斐逊骨折;阿特拉斯骨折;椎动脉压缩;小脑梗死;

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专利

1. Cerebellar infarction after posterior direct reduction and fixation to treat an unstable Jefferson fracture: a case report [J] . Seung Hwan Baek, Seung Ho Yoo, Kyoung Rai Cho, Acta Neurochirurgica . 2018,第3期

机译：小脑梗塞后直接减少和固定治疗不稳定的杰斐逊骨折：案例报告
2. Complications following open reduction and internal fixation versus external fixation in treating unstable distal radius fractures: Grading the evidence through a meta-analysis [J] . Z.Z. Yuan, Z. Yang, Q. Liu, Revue de chirurgie orthopedique et traumatologique . 2018,第1期

机译：在处理不稳定的远端半径骨折后开放减少和内部固定与外部固定的并发症：通过META分析进行证据
3. OUTCOME OF UNSTABLE DISTAL RADIUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION VERSUS EXTERNAL FIXATION. [J] . Emmanuel P Estrella, Paulo L Panti Hand surgery: an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand . 2012,第2期

机译：开放复位和内固定与外固定治疗后的不稳定的远端半径骨折的结果。
4. ANATOMICAL REDUCTION IS NOT NECESSARY IN TREATING NON-POROTIC UNSTABLE INTERTROCHANTERIC FRACTURE ― A BIOMECHANICAL STUDY OF PORCINE MODEL [C] . Shi-Wei Lin, Jaw-Lin Wang ASME(American Society of Mechanical Engineers) International Mechanical Engineering Congress: Advances in Bioengineering; 20031115-20031121; Washington,DC; US . 2003

机译：在治疗非多孔不稳定不稳定型股骨粗隆间骨折时不需要解剖学还原-猪模型的生物力学研究
5. Unstable vertebral fractures in the lower third of the spine treated with closed reduction and transpedicular posterior fixation: A retrospective analysis of 82 fractures in 78 patients [O] . K. Strømsøe, E. S. Hem, E. Aunan 1997

机译：闭合复位复位椎弓根后路固定治疗脊柱下半段不稳定椎体骨折：回顾性分析78例患者的82例骨折
6. Retrospective analysis of unstable thoracolumbar fractures treated by postural reduction and posterior short segment pedicle fixation [O] . Sandeep Kalia, Jasbir Singh, Aakash Parashar, 2019

机译：灾害减少和后短截面椎弓根固定治疗不稳定胸骨骨折的回顾性分析

Cerebellar infarction after posterior direct reduction and fixation to treat an unstable Jefferson fracture: a case report

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