On the diagnosis and treatment of atlas fractures.docVIP

 PAGE \* MERGEFORMAT 8 On the diagnosis and treatment of atlas fractures [Keywords:] diagnosis of bone fracture surgery atlas Jefferson fracture of the atlas was first reported in 1920, thousands of cases of atlas burst fractures, and fractures of this atlas called the special Jefferson fracture. The appearance of oval ring of atlas, no vertebrae, thickening thicker on both sides of the ring, forming the lateral mass, the occipital bone above the occipital condyles and atlanto-occipital joint constitutes, under the back of the front bow corresponding to the central and odontoid constitute the atlanto-odontoid joint, from both sides of the block between the atlas transverse ligament and joint capsule to maintain its stability. transverse ligament between the posterior arch and to accommodate the spinal cord, sagittal diameter of the atlas of about 3.0cm, which odontoid about 1.0cm, spinal cord about 1.0cm, 1.0cm buffer space there. before and after the bow and the side of the block of bone at a more delicate phase, is the predilection sites of fracture. [Clinical manifestations] Neck stiffness and pain in the suboccipital region is the arch of the atlas of key performance characteristics of fracture. Neck pain, was forced forward head position, activity limitation. Occasionally posterior pharyngeal swelling, but generally do not cause difficulty in breathing and swallowing difficult. Spinal cord and nerve root compression is rare. This is a large area sagittal diameter, separated after the fracture was about. When the first two cervical nerve root compression or irritation, there may be greater occipital nerve distribution area of #8203;#8203;radioactive pain or sensory disability, If one side can cause dislocation of the head was forced aptitude lateral tilt or torticollis and cervical muscle spasm. According to Jefferson fracture mechanisms and fracture displacement characteristics can be speculated that this injury should not