頸髄損傷の分析

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  • Analysis of Cervical Cord Injuries

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50 cases which had been treated in our clinic for the last 3 years were analyzed from miscellaneous angles.<br>1. As traumatic mechanism to the cervical spine, axial compression, hyperflexionn, hyperextension, whiplash, rotation and “unknown” are listed.<br>2. As factors causing myelopathy to the cervical cord, dislocation, fracture, intervertebral sliding, angulation, posterior spur, ossification of the posterior longitudinal ligament, anomaly developmental stenosis and “unknown” are listed.<br>3. Relationships between these mechanism and factors were discussed.<br>The spinal cord surounded by the narrow spinal (congenital or acquired) has tendency to be involved even by slight forces.<br>4. Traumatic cervical myelopathy was classified into 5 types due to parts of transverse cord lesions. i. e. anterrior, posterior, central, Brown-Sequard and transverse type.<br>5. Most of transverse type with severe paralysis changed into posterior and central type with slight paralysis in the last examination.<br>This means that traumatic myelopathy is caused by both damage and circulatory disturbance of the spinaal cord.

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