三步法复位颈椎双侧关节突关节脱位

【摘要]目的 提高颈椎双侧关节突关节脱位的复位成功率,缩短复位所需时间。方法 对36例此类损伤的患者采用颅环牵引下手法复位的疗效进行了系统的临床观察。结果 成功35例,失败回例,复位成功率97.22%。牵引开始至椎体复位时间最短30分钟,最长约4小时。结论 显示该方法具有复位成功率高、用时短等优点,可有效地减轻脊髓的继发性损害,无明显的神经并发症,该方法值得提倡。

Treatment of dislocation of bilateral zygapophysial joints of cervical vertebrae with method of "Three-step" reduction

ve To increase the successful rate of reduction of bilateral zygapophysial joints dislo-cation of the cervical spine and to shorten the time of the reduction Methods 36 cases of bilateral zygapophysial joints dislocation of the cervical spine were treated with "Three-step" manual reduction method under cranial ring traction and the results of the treatment were observed systemically. Results The reduction was successful in 35 cases and failed in 1 cases, with successful rate of 97.22% . The time from the beginning of traction to the reduction of the vertebral body ranged from 30 minutes to 240 minutes. Conclusion This method has some advantages,such as high successful rate and shorter reduction time. It can effectively decrease the secondary in-jury to the spinal cord without significantly nervous complications,and is being worth popularizing.