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枕骨髁骨折极少见,1817年Bell首先报道,至今文献记载仅33例。作者报道2例枕骨髁骨折并观察5个月的病人。 例1,25岁,男性,车祸后诉颈、胸部疼痛,左胸廓多发骨折,颈椎X线平片包括屈曲和过伸位均为阴性,头CT示颅内正常,寰枕部薄层CT示枕骨髁骨折,为AndersonⅢ型。为进一步研究,作矢状面CT扫描从而获得三维重建图象。病人佩戴C型颈圈,6周后去掉,活动自如,症状消失。例
Occipital bone condyle fractures rare, Bell first reported in 1817, so far documented only 33 cases. The authors reported 2 cases of occipital condylar fractures and observed 5 months of patients. Cases 1,25 years old, male, after a car accident v. Neck, chest pain, left thoracic fractures, cervical X-ray including flexion and hyperextension were negative, head CT showed normal intracranial, occipital thin-layer CT showed Occipital condyle fracture, Anderson Ⅲ type. For further study, a sagittal CT scan was performed to obtain a three-dimensional reconstructed image. The patient wearing a C-shaped collar, removed after 6 weeks, activities freely, the symptoms disappear. example