文章简介

出版社:The Korean Journal of Internal Medicine

作   者:Jennifer Lee, Sung-Hwan Park, and Kyung-Su Park

编   号:10.3904/kjim.2014.29.1.131

年   份:2014    点击量:1461

文章摘要 全文翻译

A 51-year-old man with a 22-year history of ankylosing spondylitis who had been treated with nonsteroidal anti-inflammatory drugs and infliximab presented with severe posterior neck pain, which had been aggravated after he fell backwards 3 months earlier. For cervical spine fractures in ankylosing spondylitis, conservative treatment with gentle low-weight cervical traction can be performed initially, in the absence of a neurologic deficit. However, secondary neurological deterioration occurs frequently due to the delayed dislocation at the original fracture site, and surgical treatment is generally recommended.

       本病例中患者为51岁男性,有22年强直性脊柱炎病史,服用非甾体类抗炎药和英夫利昔单抗治疗后出现严重颈部疼痛,3个月前因向后摔倒导致该症状加剧。对于强直性脊柱炎颈椎骨折患者,若神经系统正常,则早期可采取小重量颈椎牵引的保守性治疗。原发性骨折部位的延迟性脱位常引起继发性神经功能恶化,一般推荐进行手术治疗。